Individual provider · Type 1 NPI
Kermit Donald Gibson, DO
General Practice Physician · Elkhorn City, KY
NPI number
1083760649
Active
Practice location
165 E Main St
Elkhorn City, KY 41522-9043
Fax (606) 754-5452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 02080 (KY) |
| Primary Care Clinic/Center | 261QP2300X | 02080 (KY) |
| General Practice Physician Primary | 208D00000X | 02080 (KY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1083760649
Kermit Donald Gibson, DO's National Provider Identifier is 1083760649, issued on Jan 26, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Elkhorn City, KY. The record was last updated on Oct 31, 2025.