Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KERMIT DONALD GIBSON, DO
Active Sole ProprietorKERMIT DONALD GIBSON, DO is a General Practice healthcare provider located in ELKHORN CITY, Kentucky. NPI 1083760649 is currently active in the NPPES registry. Verify at CMS.
General Practice · ELKHORN CITY, KY
Registration Details
- NPI Number
- 1083760649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.524767711455 yrs)
- Last Updated
- Oct 31, 2025
- Licenses
-
02080 (KY)02080 (KY)02080 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
165 E MAIN STELKHORN CITY, KY, 415229043Browse KY providers · Browse ZIP 41522
- Phone
- 6067544158
- Fax
- 6067545452
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Primary Care Clinic
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.