Carolyn Kaye Gibson, CRNP
Internal Medicine in Baltimore, MD. Individual provider (NPI-1).
NPI number1124583950
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1124583950
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Kaye Gibson
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R702634 | MD | Yes |
Practice location
2200 Kernan DrBaltimore, MD 21207-6665
Phone 410-448-2500
Mailing address
29 Homestead StBel Air, MD 21014-4104
Phone 443-987-4442
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