Kaytelynn Cheyenne Gibson
Student in an Organized Health Care Education/Training Program in Rochester, NY. Individual provider (NPI-1).
NPI number1982508933
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1982508933
- Entity type
- Individual (NPI-1)
- Name
- Kaytelynn Cheyenne Gibson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2026
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
100 Pinewild DrRochester, NY 14606-4200
Phone 585-368-6700
Mailing address
100 Pinewild DrRochester, NY 14606-4200
Phone 585-368-6700
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