KELLIE GIBSON

Technician - Personal Care Attendant

Active Individual
NPI: 1861279689

Practice Address

5512 BIG TYLER RD
Cross Lanes, WV 25313

Phone: (304) 766-9830

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1861279689 is the National Provider Identifier for KELLIE GIBSON, a Technician - Personal Care Attendant provider located in Cross Lanes, WV. This NPI was enumerated on September 14, 2023.
KELLIE GIBSON practices at 5512 BIG TYLER RD, Cross Lanes, WV 25313.

Quick Facts

NPI
1861279689
Type
Individual
Enumerated
Sep 14, 2023
Last Updated
Sep 14, 2023

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