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Contact Information

KASSANDRA GIBBS
55 LAKE AVE N
WORCESTER, MA01655-0002
 Phone: 508-334-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

2080H0002X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KASSANDRA GIBBS · (Female)

NPI # 1760010052
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2020
Last updated 04/03/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A188567
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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