Individual
KERRI LYN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3969 SALEM AVE, DAYTON, OH 45406-1529
(937) 281-7040
(937) 281-7049
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036177585
IL
207Q00000X
Family Medicine Physician
35.096519
OH
Other
Enumeration date
03/14/2011
Last updated
11/13/2025
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