Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRESTON TYRELL GIBBS
Active Sole ProprietorKRESTON TYRELL GIBBS is a In Home Supportive Care Agency healthcare provider located in FORDYCE, Arkansas. NPI 1467177667 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · FORDYCE, AR
Registration Details
- NPI Number
- 1467177667
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2022 (3.8781983448796 yrs)
- Last Updated
- Apr 24, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
1122 N PINE STFORDYCE, AR, 717427009Browse AR providers · Browse ZIP 71742
- Phone
- 8708073639
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.