Gibson, Kimberley Royal

Gibson, Kimberley Royal is an individual health care provider with primary practice located at 4906 Old Highway 11 Ste 8, Hattiesburg MS 39402-8874. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gibson, Kimberley Royal can be contacted via phone (601) 268-9877.

Contact Information

Primary practice address
4906 Old Highway 11 Ste 8 Hattiesburg MS 39402-8874
Phone: (601) 268-9877
Fax: (601) 268-9609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S1168 Mississippi

Profile Details

NPI number 1073506721
LBN Legal business name Gibson, Kimberley Royal
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073506721 NPPES
Mississippi MEDICAID 00123146

Popular Providers