Kristina Yvonne Gibson
Emergency Medical Services Pediatric Emergency Doctor Pediatric Surgery
1919 E Thomas Rd
Phoenix
, Arizona 85016-7710
Kristina Yvonne Gibson
Emergency Medical Services Pediatric Emergency Doctor Pediatric Surgery
1919 E Thomas Rd
Phoenix
, Arizona 85016-7710
(602) 933-1813
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About
Features
Specialties
- Emergency Medical Services
- Pediatric Emergency Doctor
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Kristina Yvonne Gibson
- 3200 E Camelback Rd Ste 250
- Phoenix, AZ
- Zip : 85018-2327
- Phone : (602) 933-1813
Second Address
- Kristina Yvonne Gibson
- 1919 E Thomas Rd
- Phoenix, AZ
- Zip : 85016-7710
- Phone : (602) 933-1000
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Is Kristina Yvonne Gibson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PE0004X | Emergency Medical Services | 6978 | AZ |
| N | 2080P0204X | Pediatric Emergency Doctor | 6978 | AZ |
| Y | 2086S0120X | Pediatric Surgery | 6879 | AZ |
| N | 2086S0120X | Pediatric Surgery | 6978 | AZ |
National Provider Identifier
| NPI | 1255845517 |
|---|---|
| Provider Name | Kristina Yvonne Gibson |
| First Address | Phoenix, AZ 85018-2327 |
| Second Address | Phoenix, AZ 85016-7710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2017 |
| Last Update Date | 30/12/2021 |
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.