Gibson, Kristine M

Gibson, Kristine M is an individual health care provider with primary practice located at 1000 Oakland Drive , Kalamazoo MI 49008-8012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gibson, Kristine M can be contacted via phone (269) 337-6400.

Contact Information

Primary practice address
1000 Oakland Drive Kalamazoo MI 49008-8012
Phone: (269) 337-6400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301063502 Michigan

Profile Details

NPI number 1972573525
LBN Legal business name Gibson, Kristine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 7th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972573525 NPPES
Michigan MEDICAID 3503353

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