Individual provider · Type 1 NPI

Kerri Lyn Gibson, MD

Family Medicine Physician · Bloomington, IL

NPI number 1104124221 Active

Practice location

1701 E College Ave
Bloomington, IL 61704-2101

Call (309) 664-3000 Map

Fax (309) 664-3026

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X35.096519 (OH)
Family Medicine Physician Primary 207Q00000X036177585 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104124221

Kerri Lyn Gibson, MD's National Provider Identifier is 1104124221, issued on Mar 14, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 10, 2026.