KERMIT DONALD GIBSON MD

Dr KERMIT DONALD GIBSON MD is a male medical professional, specializing in General Practice. He graduated in 1980 from West Virginia School Of Osteopathic Medicine.

Contact

905 W RUSSELL ST
ELKHORN CITY
KY
415229032

Tel: 6067544158

KERMIT DONALD GIBSON MD Information

Npi 1083760649
Pac Id 7113828476
Professional Enrollment Id I20040119000627
Last Name GIBSON
First Name KERMIT
Middle Name DONALD
Suffix
Gender M
Credential MD
Medical School Name WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 1980
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1 OSTEOPATHIC MANIPULATIVE MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 905 W RUSSELL ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ELKHORN CITY
State KY
Zip Code 415229032
Phone Number 6067544158
Hospital Affiliation Ccn 1 180044
Hospital Affiliation Lbn 1 PIKEVILLE MEDICAL CENTER
Hospital Affiliation Ccn 2 180002
Hospital Affiliation Lbn 2 WHITESBURG ARH HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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