Provider Demographics
NPI:1932474228
Name:GIPSON, KEVIN SYLVAN (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:SYLVAN
Last Name:GIPSON
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Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:275 CAMBRIDGE ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3108
Mailing Address - Country:US
Mailing Address - Phone:617-726-8707
Mailing Address - Fax:617-724-2803
Practice Address - Street 1:275 CAMBRIDGE ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3108
Practice Address - Country:US
Practice Address - Phone:617-726-8707
Practice Address - Fax:617-724-2803
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2019-06-04
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Provider Licenses
StateLicense IDTaxonomies
MA2623432080S0012X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine