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NPI Code Detail

MEDICARE: ROBIN LYNN GIBBS

MEDICARE: ROBIN LYNN GIBBS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1306718101
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN LYNN GIBBS
Provider Business Mailing Address
First Line : 6949 LUCIA DR
Second Line :
City : BURLINGTON
State : KY
Zip : 41005-6577
Country : US
Telephone Number : 812-954-5121
Fax Number : 812-655-9584
Provider Business Practice Location Address
First Line : 325 WASHINGTON ST
Second Line :
City : AURORA
State : IN
Zip : 47001-1536
Country : US
Telephone Number : 812-954-5121
Fax Number : 812-655-9584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 09/22/2025

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