KELLY GIBSONCHIROPRACTIC INC NPI 1336686153

NPI Information

  • NPI: 1336686153
  • Provider Name: KELLY GIBSONCHIROPRACTIC, INC
  • Classification: Chiropractor - 111NI0900X
  • Specialization: Internist
  • Entity Type: Organization
  • Address: 1929 W VISTA WAY
    SUITE C
    VISTA, CA
    ZIP 92083
  • Phone: (760) 724-5700

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NPI Details

KELLY GIBSONCHIROPRACTIC, INC is an internist chiropractor in Vista, CA. The provider is the chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. KELLY GIBSONCHIROPRACTIC, INC NPI is 1336686153. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1929 W VISTA WAY
SUITE C
VISTA, CA
ZIP 92083-004
Phone: (760) 724-5700
Fax: (760) 724-9878

The provider's authorized official is Kelly Marie Gibson .
The authorized official title is President and has the following contact phone number (760) 724-5700.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 1/31/2017.

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
1111NI0900XChiropractorInternistDC25328CALIFORNIAYes
2111NN1001XChiropractorNutritionDC25328CALIFORNIANo
3111NR0400XChiropractorRehabilitationDC25328CALIFORNIANo
4111NS0005XChiropractorSports PhysicianDC10902CALIFORNIANo

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: 11/21/2025

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