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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY GIBSONCHIROPRACTIC, INC

Active Organization

KELLY GIBSONCHIROPRACTIC, INC is a Internist (Chiropractor) organization located in VISTA, California. NPI 1336686153 is currently active in the NPPES registry. Verify at CMS.

Internist (Chiropractor) · VISTA, CA

Registration Details

NPI Number
1336686153
Provider Type
Organization
NPI Issued
Jan 31, 2017 (9.5472084308244 yrs)
Last Updated
Jan 31, 2017
Licenses
DC10902 (CA)
DC25328 (CA)
DC25328 (CA)
DC25328 (CA)

Practice Information

Address
1929 W VISTA WAY
SUITE C
VISTA, CA, 920836004
Browse CA providers · Browse ZIP 92083
Phone
7607245700
Fax
7607249878
Primary Specialty
Internist (Chiropractor)
111NI0900X
Additional Specialty
Nutrition (Chiropractor)
Additional Specialty
Rehabilitation (Chiropractor)
Additional Specialty
Internist (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.