Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 35.140899 | OH |
NPI | 1083057764 |
---|---|
Provider Name | Dr. Kathryn Gloria Gibbons |
First Address | New Haven, CT 06515-1834 |
Second Address | New Haven, CT 06510-3218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 02/02/2021 |