Individual provider · NPI-1

Kyle Gibbons

Adult Companion · Orlando, FL

NPI number1629488986
StatusActive
Last updated in NPPESMay 8, 2014

Details

NPI
1629488986
Entity type
Individual (NPI-1)
Name
Kyle Gibbons
Sex
Male
Sole proprietor
No
Enumeration date
May 7, 2014
Last updated
May 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes
373H00000X Day Training/Habilitation Specialist––
372500000X Chore Provider––

Practice location

820 Alfred Dr
Orlando, FL 32810-5506

Phone 855-403-5312

Mailing address

Po Box 570439
Orlando, FL 32857-0439

Phone 855-403-5312

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