Individual
JANE CATHERINE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 PARK ST, BOWLING GREEN, KY 42101-1784
(270) 781-5111
(270) 783-3750
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33622
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64363229
—
KY
Enumeration date
09/08/2005
Last updated
01/23/2019
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