Kyle Gibson

NPI #1679008635 in Fort Madison, Iowa

Provider Information

NPI Number: 1679008635
Entity Type: Individual
Name: Kyle Gibson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 27, 2017
Last Updated: Apr 27, 2017

Practice Location

Address: 5409 AVENUE O
City: Fort Madison
State: Iowa
ZIP Code: 52627-9601
Phone: (319) 376-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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