person
Keenan Gibson, DO
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1518607977

Keenan Gibson is a Student in an Organized Health Care Education/Training Program based in Broomfield, TX. Keenan Gibson practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Keenan Gibson is 1518607977 and holds a License No. (Texas).

The current practice location address for Keenan Gibson is 3500 Camp Bowie Blvd, Fort Worth, TX and can be reached out via phone at 817-735-2000.

Location: 3500 Camp Bowie Blvd, Fort Worth, TX, 80021-2813
person
Provider Profile Details
NPI Number
1518607977
Provider Name
Keenan Gibson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3500 Camp Bowie Blvd, Fort Worth, TX, 80021-2813
Phone Number
817-735-2000
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3500 Camp Bowie Blvd
City
State
Zip
76107-2644
Phone Number
817-735-2000
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Camp Bowie Blvd
City
State
Zip
76107-2644
Phone Number
817-735-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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