DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY ROSE GIBBONS BS

MEDICARE: KELLY ROSE GIBBONS BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1477983518
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ROSE GIBBONS BS
Provider Business Mailing Address
First Line : 3868 COOLIDGE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3311
Country : US
Telephone Number : 831-596-9484
Fax Number :
Provider Business Practice Location Address
First Line : 2681 28TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-2912
Country : US
Telephone Number : 415-682-3278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2013
Last Update Date : 05/22/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1639032220 — ABIGAIL TASKIER
Practice Location Address:
2681 28TH AVE
SAN FRANCISCO, CA
94116-2912
Practice Phone: 415-681-3211
Practice Fax:
1205928520 — FRANCIS JOSEPH ROBINSON IV LCSW
Practice Location Address:
2681 28TH AVE
SAN FRANCISCO, CA
94116-2912
Practice Phone: 415-681-3211
Practice Fax:
1851571665 — MR. MARK EDWARD MCLAUGHLIN BS
Practice Location Address:
2681 28TH AVE
SAN FRANCISCO, CA
94116-2912
Practice Phone: 415-682-3211
Practice Fax: 415-664-7094
1851614101 — NINO RALPH DE LA CRUZ ROSALES
Practice Location Address:
2681 28TH AVE
SAN FRANCISCO, CA
94116-2912
Practice Phone: 415-681-3211
Practice Fax:
1669808069 — ANASTASSIA A. PUTILINA-NAYLOR LMFT #103042
Practice Location Address:
2681 28TH AVE
SAN FRANCISCO, CA
94116-2912
Practice Phone: 415-681-3211
Practice Fax:

Directions to “ KELLY ROSE GIBBONS BS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.