Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly Joan Carlson Gibas, DBH

Individual provider Nutrition Education Nutritionist · NPI 1588189955

Dr. Kelly Joan Carlson Gibas, DBH is a Nutrition Education Nutritionist in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
Specialties on file
3

Practice location Address checks out

13700 Reimer Dr N Ste 220
Maple Grove, MN 55311-4548
Phone: (763) 424-2474
Fax: (763) 424-2711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence CC01539 (MN)
Nutrition Education Nutritionist Taxonomy 133NN1002X (MN)
Health Educator Taxonomy 174H00000X (MN)

Record details

NPI number1588189955
Entity typeIndividual (Type 1)
GenderFemale
Credentials DBH
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 7, 2017

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