DR. KELVIN DEVANE GIPSON D.P.M NPI 1013022698

NPI Information

NPI: 1013022698
Provider Name: DR. KELVIN DEVANE GIPSON, D.P.M
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
2600 HOSPITAL DR
DOCTORS MEMORIAL HOSPITAL/DOCTOR'S SPECIALTY CLINC
BONIFAY, FL
ZIP 32425
Phone: (850) 547-8117
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DR. Kelvin Devane Gipson, D.P.M is a foot and ankle surgery podiatrist in Bonifay, FL. DR. Kelvin Devane Gipson, D.P.M NPI is 1013022698. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2600 HOSPITAL DR
DOCTORS MEMORIAL HOSPITAL/DOCTOR'S SPECIALTY CLINC
BONIFAY, FL
ZIP 32425-264
Phone: (850) 547-8117

The enumeration date for this NPI number is 8/21/2006 and was last updated on 8/31/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	1341	VIRGIN ISLANDS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CZ576A	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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