Individual
DR. KATHLEEN PATRICIA BERNICE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 W TECH RD STE 120, MIAMISBURG, OH 45342-0956
(937) 748-6116
(937) 291-6956
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3555
(937) 641-4528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35088699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2766449
—
OH
01
—
35.088699
MEDICAL LICENSE
OH
Enumeration date
04/03/2007
Last updated
10/17/2023
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