Individual
TONY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 25TH ST, ASHLAND, KY 41101-7820
(606) 329-8588
(606) 329-8140
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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