NPI 1043559628

Kelly Ann Gibson, CRNP

Practitioner Acute Care Nurse Practitioner Elkridge, MD

Practice location

Address: 6400 Greenfield Rd #908, Elkridge, MD 21075-9101
Phone: (410) 796-5917

Registered specialties

Acute Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence R165752 (MD)

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Registry record

NPI: 1043559628
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2013
Record last updated: 8 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.