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Contact Information

KELLY GIBSONCHIROPRACTIC, INC
1929 W VISTA WAY
SUITE C
VISTA, CA92083-6004
 Phone: 760-724-5700
 Fax: 760-724-9878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
 

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
 

Rehabilitation

111NR0400X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KELLY GIBSONCHIROPRACTIC INC · (Female)

NPI Number 1336686153
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2017
Last updated 01/31/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # DC10902
  • CA License # DC25328
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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