Individual
DR. KEVIN PATRICK GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1519 MARION ST, COLUMBIA, SC 29201-2910
(803) 296-5954
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL34753
SC
2085R0202X
Diagnostic Radiology Physician
Primary
34753
SC
Other
Enumeration date
06/13/2012
Last updated
11/13/2020
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