Mykenzie Gibson
NPI #1104615343 in Mullens, West Virginia
Provider Information
- NPI Number
- 1104615343
- Entity Type
- Individual
- Name
- Mykenzie Gibson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 5, 2025
- Last Updated
- May 5, 2025
Practice Location
- Address
- 695 MOUNTAINEER HWY
- City
- Mullens
- State
- West Virginia
- ZIP Code
- 25882-0255
- Phone
- (304) 294-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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