Search › Idaho › 207RI0011X
Kenneth Gibbs, MD
NPI 1174506455 · on the registry since 2005
Practice
- Address
- 415 6th St
Lewiston, ID 83501 - Phone
- (208) 750-7445
- Fax
- (208) 750-7395
- Organisation at this address
- Michael Kos Md, Ps
St Joseph Snf Unit
St Joseph Hospital Llc
Valley Anesthesia, P.A.
Phoenix Radiology, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 3600 S Highlands Ave, Sebring, FL
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RC0000X
207RC0000X
207RI0011X
207RI0011X - Licence states on file
- FL, KY, MO, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho