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

KIRK GIBSON, MSN, RN, PCCN

Active Sole Proprietor

Diabetes Educator Nurse · SHREVEPORT, LA

Registration Details

NPI Number
1689197519
Provider Type
Individual
Gender
Male
NPI Issued
Jul 23, 2017 (8.746958556789 yrs)
Last Updated
Jul 21, 2022
Licenses
RN136488 (LA)
RN136488 (LA)
Sole Proprietor
Yes

Practice Information

Address
919 WILLOW DR
SHREVEPORT, LA, 711184023
Browse LA providers · Browse ZIP 71118
Phone
3188404843
Primary Specialty
Diabetes Educator Nurse
163WD0400X
Additional Specialty
Diabetes Educator Nurse

Other Diabetes Educator Nurse Providers in SHREVEPORT, LA

Name Credential NPI
MRS. ANN V. LEITZ APRN 1265540306
CHARETTE DELLAGATTA RN, CCRP 1871108357
AIMEE ROSS RN 1679361380
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.