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Kreston Gibbs
NPI 1467177667 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1122 N Pine St
Fordyce, AR 71742 - Phone
- (870) 807-3639
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas