Kathleen Rae Gibson

NPI #1821783887 in Peru, Indiana

Provider Information

NPI Number
1821783887
Entity Type
Individual
Name
Kathleen Rae Gibson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 6, 2023
Last Updated
Apr 6, 2023

Practice Location

Address
1496 W HOOSIER BLVD
City
Peru
State
Indiana
ZIP Code
46970-3727
Phone
(765) 472-5032

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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