Individual
MR. JAMES RANDALL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1204 W EVERLY BROS BLVD, CENTRAL CITY, KY 42330-1822
(270) 754-2268
(270) 757-2188
Mailing address
1204 W EVERLY BROS BLVD, CENTRAL CITY, KY 42330-1822
(270) 754-2268
(270) 757-2188
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
270009
KY
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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