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General NPI Number Information
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NPI Number | 1851548309
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Entity Type | Individual
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Provider Name | KRISTINA JEANNE GIBBONS D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 430 MAIN
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City | WELLSVILLE
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State | KS
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Zip | 66092-0726
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Country | US
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Telephone | 785-883-9355
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Fax | 785-883-4030
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Provider Business Mailing Address
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Address Line | 430 MAIN ST PO BOX 726
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City | WELLSVILLE
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State | KS
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Zip | 66092-8878
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Country | US
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Telephone | 782-883-9355
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Fax | 785-993-4030
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01-05260
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License Number State | KS
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