Mr Kristin Raye Gibson, PT, CLT, ATC is a
Specialist/technologist - Athletic Trainer based in Edmond, Oklahoma. Mr Kristin Raye Gibson is licensed to practice in Oklahoma (license number 83) and her current practice location is
301 S Bryant Ave, Bldg. B-100, Edmond, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 340-2019.
NPI number for Mr Kristin Raye Gibson is 1811106933 and her current mailing address is 416 Heritage Blvd, Edmond, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811106933.
Healthcare Provider's Profile
Full Name | Mr Kristin Raye Gibson |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 301 S Bryant Ave, Edmond, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811106933
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Kristin Raye Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811106933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1487 (Oklahoma) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 83 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kristin Raye Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Kristin Raye Gibson, PT, CLT, ATC 416 Heritage Blvd, Edmond, OK 73003-2764 Ph: (405) 340-2019 | Mr Kristin Raye Gibson, PT, CLT, ATC 301 S Bryant Ave, Bldg. B-100, Edmond, OK 73034-5790 Ph: (405) 340-2019 |
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