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Individual

DR. DANA LYNN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
202 LIMESTONE ST S STE 1A, FRANKFORT, KY 40601-4320
(502) 223-8400
(502) 875-3073
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25301
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64253016
KY
Enumeration date
01/26/2006
Last updated
02/19/2024
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