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: MCKENZIE GIBSON

MEDICARE: MCKENZIE GIBSON
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1700504651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENZIE GIBSON
Provider Business Mailing Address
First Line : 881 S HAGUE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2305
Country : US
Telephone Number : 614-596-6600
Fax Number :
Provider Business Practice Location Address
First Line : 1216 SUNBURY RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2086
Country : US
Telephone Number : 614-251-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2022
Last Update Date : 08/17/2022

Similar Medicare Providers

1124983242 — SRUSHTI PATEL PA-C
Practice Location Address:
1216 SUNBURY RD
COLUMBUS, OH
43219-2086
Practice Phone: 614-251-4500
Practice Fax:
1447289079 — MR. JAMISON LEE FRENCH ATC
Practice Location Address:
1216 SUNBURY RD
COLUMBUS, OH
43219-2086
Practice Phone: 614-253-4864
Practice Fax: 614-251-2556
1225785983 — LAUREN SIMPKINS
Practice Location Address:
1216 SUNBURY RD
COLUMBUS, OH
43219-2086
Practice Phone: 614-447-0424
Practice Fax:
1366170672 — ERIC CARPENTER ATS
Practice Location Address:
1216 SUNBURY RD
COLUMBUS, OH
43219-2086
Practice Phone: 614-251-7474
Practice Fax:
1922704279 — JOANNA GEORGE
Practice Location Address:
1216 SUNBURY RD
COLUMBUS, OH
43219-2086
Practice Phone: 614-447-0424
Practice Fax:
1225727142 — MOLLY RITTER
Practice Location Address:
1216 SUNBURY RD
COLUMBUS, OH
43219-2086
Practice Phone: 614-447-0424
Practice Fax:

Directions to “ MCKENZIE GIBSON ” 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 © 2007-2026 (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.