Search › Minnesota › 103TB0200X
Kelly Carlson Gibas, DBH
NPI 1588189955 · on the registry since 2017
Practice
- Address
- 13700 Reimer Dr N Ste 220
Maple Grove, MN 55311 - Phone
- (763) 424-2474
- Fax
- (763) 424-2711
- Organisation at this address
- Twin Towers, Inc.
Twin Towers, Inc.
Bristlecone To Go, Inc.
Trillium Chiropractic, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 133NN1002X
174H00000X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-07
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 Minnesota