Provider Demographics
NPI:1962384081
Name:GIBBAS, KATHY SUE
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:SUE
Last Name:GIBBAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 Y ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-3747
Mailing Address - Country:US
Mailing Address - Phone:937-418-7142
Mailing Address - Fax:
Practice Address - Street 1:506 Y ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-3747
Practice Address - Country:US
Practice Address - Phone:937-418-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide