Individual provider · Type 1 NPI
Kirk Gibson, MSN, RN, PCCN
Diabetes Educator Registered Nurse · Shreveport, LA
NPI number
1689197519
Active
Practice location
919 Willow Dr
Shreveport, LA 71118-4023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN136488 (LA) |
| Diabetes Educator Registered Nurse Primary | 163WD0400X | RN136488 (LA) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1689197519
Kirk Gibson, MSN, RN, PCCN's National Provider Identifier is 1689197519, issued on Jul 23, 2017. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Shreveport, LA. The record was last updated on Jul 21, 2022.