Provider Demographics
NPI:1467200832
Name:GIMBEN, CHRISTY (CPM)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:GIMBEN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8244 S PITTMAN DR
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-7064
Mailing Address - Country:US
Mailing Address - Phone:316-200-2577
Mailing Address - Fax:
Practice Address - Street 1:10002 E LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-3942
Practice Address - Country:US
Practice Address - Phone:316-200-2577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife