Kevin James Gibson in Saint Louis - General Practice

Kevin James Gibson - NPI 1881726941

Kevin James Gibson is a General Practice in Saint Louis, Missouri. Kevin James Gibson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin James Gibson is 1881726941. The last update date is 2021-12-20.

Kevin James Gibson's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3143629123 and fax number 3143620478. The mailing address for Kevin James Gibson is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin James Gibson
Address 660 S Euclid Ave, Saint Louis, Missouri
Phone Number 3143629123
Fax Number 3143620478
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1881726941
Provider Enumeration Date 2007-03-12
Last Updated Date 2021-12-20

Provider Mailing Address Detail

Address 660 S Euclid Ave
City Saint Louis
State Missouri (MO)
Post Code 631101010
Phone Number 3143629123
Fax Number 3143620478

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 2004004896
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
207042607 MO --

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FAQs about Kevin James Gibson

What is the unique 10-digit identifier code assigned to Kevin James Gibson by the Centers for Medicare & Medicaid Services?

The Kevin James Gibson has been issued the NPI (National Provider Identifier) 1881726941 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kevin James Gibson's facilities are situated?

The facilities of Kevin James Gibson are physically located at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.

What is Kevin James Gibson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin James Gibson is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date was the 1881726941 assigned to Kevin James Gibson?

The Kevin James Gibson was issued its 1881726941 on 2007-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kevin James Gibson most recently updated or revised?

The details related to Kevin James Gibson, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-20.

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