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Contact Information

MITCHELL S GIBBONS
7520 W 160TH ST STE 100
OVERLAND PARK, KS66085-8137
 Phone: 913-871-8221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MITCHELL S GIBBONS · (Male)

NPI # 1871116210
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2020
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # R-11831
  • KS License # 04-48713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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