Kelly Ann Gibson
Nurse Practitioner - Acute Care
6400 Greenfield Rd #908
Elkridge
, Maryland 21075-9101
Kelly Ann Gibson
Nurse Practitioner - Acute Care
6400 Greenfield Rd #908
Elkridge
, Maryland 21075-9101
(410) 796-5917
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Kelly Ann Gibson
- 6400 Greenfield Rd #908
- Elkridge, MD
- Zip : 21075-9101
- Phone : (410) 796-5917
Second Address
- Kelly Ann Gibson
- 6400 Greenfield Rd #908
- Elkridge, MD
- Zip : 21075-9101
- Phone : (410) 796-5917
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | R165752 | MD |
National Provider Identifier
| NPI | 1043559628 |
|---|---|
| Provider Name | Kelly Ann Gibson |
| First Address | Elkridge, MD 21075-9101 |
| Second Address | Elkridge, MD 21075-9101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2013 |
| Last Update Date | 08/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.