person
Kermit Donald Gibson, DO
General Practice Physician in Elkhorn City, Kentucky
NPI 1083760649

Kermit Donald Gibson is a General Practice Physician based in Elkhorn City, KY. Kermit Donald Gibson practices in Elkhorn City, KY and has the professional credentials of DO. The NPI Number for Kermit Donald Gibson is 1083760649 and holds a License No. 02080 (Kentucky).

The current practice location address for Kermit Donald Gibson is 905 W Russell St, Elkhorn City, KY and can be reached out via phone at 606-754-4158 and via fax at 606-754-5452.

Location: 905 W Russell St, Elkhorn City, KY, 41522-9032
person
Provider Profile Details
NPI Number
1083760649
Provider Name
Kermit Donald Gibson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
905 W Russell St, Elkhorn City, KY, 41522-9032
Phone Number
606-754-4158
Fax Number
606-754-5452
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64020803 05 KY
112617 01 FED BLACK LUNG
1270152 01 UMWA FUNDS
institution
Provider Business Practice Location Address Details
Address
905 W Russell St
City
State
Zip
41522-7071
Phone Number
606-754-4158
Fax Number
606-754-5452
person
Provider Business Mailing Address Details
Address
905 W Russell St
City
State
Zip
41522-7071
Phone Number
606-754-4158
Fax Number
606-754-5452
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
02080 (Kentucky)
Definition
Definition to come...
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