Dr Kelly A Gibson, AUD is a
Audiologist-hearing Aid Fitter based in Santa Rosa, California. Dr Kelly A Gibson is licensed to practice in California (license number AU 2679) and her current practice location is
4725 Hoen Ave, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 542-1154.
NPI number for Dr Kelly A Gibson is 1841324860 and her current mailing address is 750 N Commons Dr Ste 200, Aurora, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841324860.
Healthcare Provider's Profile
| Full Name | Dr Kelly A Gibson |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist-hearing Aid Fitter |
|---|
| Location | 4725 Hoen Ave, Santa Rosa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841324860
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 09/29/2022
Medical Identifiers
Medical identifiers for Dr Kelly A Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841324860 | NPI | - | NPPES |
| CB279930 | Other | CA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | AU 2679 (California) | Secondary |
| 231HA2400X | Audiologist - Assistive Technology Practitioner | AU 2679 (California) | Secondary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | AU 2679 (California) | Secondary |
| 237700000X | Hearing Instrument Specialist | (* (Not Available)) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | AU 2679 (California) | 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. Dr Kelly A 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 |
|---|
Dr Kelly A Gibson, AUD
750 N Commons Dr Ste 200,
Aurora, IL 60504-7940
Ph: (630) 303-5380 | Dr Kelly A Gibson, AUD
4725 Hoen Ave,
Santa Rosa, CA 95405-9402
Ph: (707) 542-1154 |
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