Search › Georgia › 152W00000X
Kenneth Gibson, OD
NPI 1497581151 · on the registry since 2024
Practice
- Address
- 97 Parkway Dr
Fort Oglethorpe, GA 30742 - Phone
- (762) 887-6053
- Organisation at this address
- National Vision Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-10
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 Georgia