Individual
BRIAN CORDELL GIBBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 HOSPITAL DR, MADISONVILLE, KY 42431-1644
(785) 717-9504
Mailing address
112 CARLISLE DR, MADISONVILLE, KY 42431-9172
(785) 717-9504
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2025033705
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
4008323
KY
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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