Individual
MICHAEL KEVIN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1716
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56792
TN
207RX0202X
Medical Oncology Physician
Primary
56792
TN
207RX0202X
Medical Oncology Physician
D54563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274901700
—
MD
05
—
2792894
—
OH
Enumeration date
06/02/2006
Last updated
03/30/2022
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