Individual
DR. KEITH GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(570) 271-6070
(570) 271-5609
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039212E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001168384
—
PA
Enumeration date
03/10/2006
Last updated
06/24/2020
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