Individual
TROY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
138 LEADER AVE OFC 208, DEPT. OF PEDIATRICS, DIVISION OF GASTROENTEROLOGY, LEXINGTON, KY 40506-9983
(859) 218-1676
(859) 257-7799
Mailing address
138 LEADER AVE OFC 208, DEPT. OF PEDIATRICS, DIVISION OF GASTROENTEROLOGY, LEXINGTON, KY 40506-9983
(859) 218-1676
(859) 257-7799
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
48503
KY
2080P0206X
Pediatric Gastroenterology Physician
E-3162
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146288001
—
AR
Enumeration date
10/13/2006
Last updated
12/08/2015
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