Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH GIBBS, MD
ActiveKENNETH GIBBS, MD is a Hospice and Palliative Medicine healthcare provider located in LEWISTON, Idaho. NPI 1174506455 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · LEWISTON, ID
Registration Details
- NPI Number
- 1174506455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.760599089175 yrs)
- Last Updated
- Sep 10, 2020
- Licenses
-
ME44229 (FL)41676 (KY)ME44229 (FL)2016035277 (MO)M-12671 (ID)
Practice Information
- Address
-
415 6TH STLEWISTON, ID, 835012431Browse ID providers · Browse ZIP 83501
- Phone
- 2087507445
- Fax
- 2087507395
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Hospice and Palliative Medicine
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.