IndividualActive
Kiley Gibbs, RN, BSN
NPI 1336895937 · Enterostomal Therapy Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1336895937
- Entity type
- Individual
- Primary specialty
- Enterostomal Therapy Registered NurseNursing Service Providers
- Credential
- RN, BSN
- Sex
- Female
- Sole proprietor
- No
- License
- 0188229 (CO)
Specialties & taxonomies
Nursing Service Providers
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Approximate (ZIP-level) locationGet directions
Mailing address
3018 W Lakewood Dr
Alamosa, CO 81101-2127
Registry dates
- Enumerated
- 2022-02-23
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.