OrganizationActive
Kelly Gibsonchiropractic, Inc
NPI 1336686153 · Internist Chiropractor · Vista, CA
Provider details
- NPI number
- 1336686153
- Entity type
- Organization
- Primary specialty
- Internist ChiropractorChiropractic Providers
- Authorized official
- Kelly Gibson, President
- License
- DC10902 (CA)
Practice location
1929 W Vista Way
Suite C
Vista, CA 92083-6004
Phone: (760) 724-5700
Fax: (760) 724-9878
Mailing address
1929 W Vista Way
Vista, CA 92083-6004
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2017-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.