Kelly A Gibson is a Audiologist in Santa Rosa, California. Kelly A Gibson practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Kelly A Gibson is 1841324860. The last update date is 2022-09-29.
Kelly A Gibson's current location address is 4725 Hoen Ave, Santa Rosa, California. You can contact this provider via phone number 7075421154 and fax number 7075424818. The mailing address for Kelly A Gibson is 4725 Hoen Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly A Gibson |
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Address | 4725 Hoen Ave, Santa Rosa, California |
Phone Number | 7075421154 |
Fax Number | 7075424818 |
Sole Proprietor | N |
Credentials | AU.D. |
NPI Number Detail
NPI Number | 1841324860 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2022-09-29 |
Provider Mailing Address Detail
Address | 4725 Hoen Ave |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954059402 |
Phone Number | 7075421154 |
Fax Number | 7075424818 |
Provider's Primary Taxonomy Detail
Speciality | Audiologist |
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Taxonomy | 231H00000X |
Licence No | AU 2679 |
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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CB279930 | CA | MEDICARE |
Post Comment/ Review Below
What is the Kelly A Gibson's 1841324860?
The Kelly A Gibson's NPI (National Provider Identifier) Number is 1841324860. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly A Gibson located?
The Kelly A Gibson is located at 4725 Hoen Ave, Santa Rosa, CA 954059402.
What is Kelly A Gibson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly A Gibson's area of specialization is Audiologist, and the corresponding taxonomy code that categorizes this field of practice is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841324860 to Kelly A Gibson?
The Kelly A Gibson received its 1841324860 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
When was the information regarding Kelly A Gibson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly A Gibson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-09-29.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC