Doctor Name: | KERRY GIBSON |
NPI Number: | 1649657727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN CNSC |
License Number: | L002556 |
Business Practice Address: | 101 Manning Dr Chapel Hill, NC - 275144220 |
Business Phone Number: | 9849747908 |
Business Fax Number: | 9849743217 |
Mailing Address: | 101 Manning Dr, CHAPEL HILL |
State: | NC |
Postal Code: | 275144220 |
Phone Number: | 9849749500 |
Fax Number: | 9849749608 |
NPI Enumeration Date: | 04/28/2015 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L002556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |