Individual
SHIRLEY K. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
606 BURKESVILLE RD, ALBANY, KY 42602-1612
(606) 387-0675
(606) 387-3149
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38599
KY
207R00000X
Internal Medicine Physician
Primary
38599
KY
208000000X
Pediatrics Physician
38599
KY
208M00000X
Hospitalist Physician
38599
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64103237
—
KY
Enumeration date
07/14/2006
Last updated
12/02/2019
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