DR. Kenneth Wayne Gibson, DO

NPI #1245241413 in Hulbert, Oklahoma

Provider Information

NPI Number: 1245241413
Entity Type: Individual
Name: DR. Kenneth Wayne Gibson, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Aug 11, 2006
Last Updated: Jun 4, 2019

Practice Location

Address: 124 E MAIN ST
City: Hulbert
State: Oklahoma
ZIP Code: 74441-8902
Phone: (918) 772-3390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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