Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WAYNE GIBSON, DO
Active Sole ProprietorDR. KENNETH WAYNE GIBSON, DO is a Family Medicine healthcare provider located in HULBERT, Oklahoma. NPI 1245241413 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HULBERT, OK
Registration Details
- NPI Number
- 1245241413
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2006 (19.829626650778 yrs)
- Last Updated
- Jun 4, 2019
- Licenses
-
OS9095 (FL)2170 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 E MAIN STHULBERT, OK, 744418902Browse OK providers · Browse ZIP 74441
- Phone
- 9187723390
- Fax
- 9187721233
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family 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.