Individual
HEATH MARTIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1138 LEXINGTON RD STE 140, GEORGETOWN, KY 40324-9672
(502) 570-3721
Mailing address
1138 LEXINGTON RD STE 140, GEORGETOWN, KY 40324-9672
(502) 570-3721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC627
KY
Other
Enumeration date
08/02/2017
Last updated
03/20/2019
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