KELLY GIBSON


Address: 228 Saint George St, Gonzales, TX 78629-3910
Phone: 8396726511

KELLY GIBSON (NPI# 1407197114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407197114
Entity Type Individual
Full Name KELLY GIBSON
Credential PA-C
Practice Address 228 Saint George St
Gonzales
TX 78629-3910
Mailing Address Po Box 1890
Gonzales
TX 78629-1390
Practice Telephone 8396726511
Mailing Telephone 8306726511
Enumeration Date 2013-03-05
Last Update Date 2013-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1110177 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY GIBSON

NPI Name Taxonomy Address Enumeration
1093105371 Kelly Gibson Chiropractor 608 Fisher Cir, Folsom, CA 95630-9541 2015-01-26
1982013124 Kelly Gibson Dentist 18800 Main St Ste 202, Huntington Beach, CA 92648-1718 2014-08-12
1043559628 Kelly Ann Gibson Nurse Practitioner 6400 Greenfield Rd, #908, Elkridge, MD 21075-9101 2013-02-02
1316140551 Kelly Marie Gibson Chiropractor 1929 W Vista Way, Suite C, Vista, CA 92083 2007-06-06
1811521172 Kelly Bruce Gibson Physical Therapist 5520 Broadview Rd Frnt, Parma, OH 44134-1606 2020-02-26
1346737806 Kelly J Gibson Occupational Therapy Assistant 25018 Oakhurst Dr, Spring, TX 77386-2722 2018-04-19
1023388444 Kelly Gibson Physical Therapist 701 Hewitt Blvd, Red Wing, MN 55066-2848 2012-01-02
1215101480 Kelly Smith Gibson Obstetrics & Gynecology 2500 Metrohealth Dr, Cleveland, OH 44109-1900 2008-04-17
1841324860 Kelly A Gibson Audiologist 780 W Olive Ave Ste 100, Merced, CA 95348-2437 2007-03-14

Office Location

Street Address 228 SAINT GEORGE ST
City GONZALES
State TX
Zip Code 78629-3910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184626871 Roland A Medellin Family Medicine 228 Saint George St, Gonzales, TX 78629-3910 2005-08-11
1235785205 Ogechi Anthonia Obiakor Dentist 228 Saint George St, Gonzales, TX 78629-3910 2019-08-14
1356891410 Haley Lynn Pirkle Counselor 228 Saint George St, Gonzales, TX 78629-3910 2016-10-12
1902211923 Chelsea Allison Padgett Dentist 228 Saint George St, Gonzales, TX 78629-3910 2014-06-28
1558789966 Jill Ashley Elliott Physician Assistant 228 Saint George St, Gonzales, TX 78629-3910 2014-04-02
1770924961 Gabriel Gallardo Counselor 228 Saint George St, Gonzales, TX 78629-3910 2013-07-16
1164776548 Katherine D Paterson Nurse Practitioner 228 Saint George St, Gonzales, TX 78629-3910 2012-11-06
1740579853 Courtney Lauren Panus Licensed Vocational Nurse 228 Saint George St, Gonzales, TX 78629-3910 2011-03-30
1457679821 Rebecca Vela Social Worker 228 Saint George St, Gonzales, TX 78629-3910 2010-05-11
1689991077 Mary Gayle Morgan Registered Nurse 228 Saint George St, Gonzales, TX 78629-3910 2010-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265032072 Bruce Franklin Blackwell Pharmacist 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 2020-10-30
1790327765 Gonzales County Emergency Services District 1 Ambulance 305 Qualls Street, Gonzales, TX 78629 2019-10-11
1831663400 Caitlin Walker Clinic/Center 1300 Captain Albert Martin Trail, Gonzales, TX 78629 2019-01-17
1497251698 Vaz Urgent Care Clinic, Pa Clinic/Center 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 2018-04-05
1104348762 Jeremiah Berryhill Specialist/Technologist 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 2017-07-14
1073912861 Gonzales County Senior Citizens Association, Inc Home Delivered Meals 818 Seydler Street, Gonzales, TX 78629 2014-08-18
1932544517 Familylink Treatment Services Counselor 13326 Highway North 183, Gonzales, TX 78629 2013-05-08
1598035651 H-e-b, Lp Clinical Medical Laboratory 1841 Church St., Gonzales, TX 78629 2012-01-06
1942441159 Rebecca P. Bohach Licensed Vocational Nurse 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 2009-03-18
1376763631 Gonzales Isd Local Education Agency (LEA) 535 Fair St., Gonzales, TX 78629 2007-04-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467914481 Hajar Nomura Sakhi Physician Assistant 850 5th St, Gonzales, CA 93926-9491 2019-04-01
1396992079 Stephanie Jasik Physician Assistant 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 2008-08-25
1881741346 Mandy Moreno Micheaux Physician Assistant 228 Saint George St, Gonzales, TX 78629-3910 2007-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City GONZALES
Zip Code 78629

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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