Individual provider · Type 1 NPI

Shelby Kaitlyn Gibbons, PA-C

Surgical Physician Assistant · Boise, ID

NPI number 1265009781 Active

Practice location

2619 W Fairview Ave Ste 3100
Boise, ID 83702-6722

Call (208) 706-2663 Map

Fax (208) 486-4300

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 150 Andover Park W, Tukwila, WA 98188-2801 · (425) 979-2663
  • 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 · (425) 656-5060
  • 1620 Lake Tapps Pkwy SE Ste 115, Auburn, WA 98092-8376 · (253) 246-2860
  • 2619 W Fairview Ave, Suite 3100, Boise, ID 83702
  • 2619 W Fairview Ave Ste 3100, Boise, ID 83702-6722 · (208) 706-2663
  • 2619 W Fairview Ave Ste 3100, Boise, ID 83702-6722 · (208) 706-2663
  • 2619 W Fairview Ave, Suite 3100, Boise, ID 83702
  • 24060 SE Kent Kangley Rd Ste D-100, Maple Valley, WA 98038-6851 · (425) 358-7708
  • 27005 168th Pl SE Ste 201, Covington, WA 98042-4902 · (253) 630-3660

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA61349330 (WA)
Surgical Physician Assistant Primary 363AS0400XPA-2723 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1265009781

Shelby Kaitlyn Gibbons, PA-C's National Provider Identifier is 1265009781, issued on Jun 4, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on May 8, 2024.