Whalio Doctors

NPI 1174506455

Kenneth Gibbs, MD

Practitioner Interventional Cardiology Physician Lewiston, ID

Practice location

Address
415 6th St, Lewiston, ID 83501-2431
Phone
(208) 750-7445
Fax
(208) 750-7395
Mailing address
415 6th St, Lewiston, ID 83501

Registered specialties (5)

Interventional Cardiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence M-12671 (ID)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence ME44229 (FL)
Cardiovascular Disease Physician
Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 41676 (KY)
Interventional Cardiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence ME44229 (FL)
Interventional Cardiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207RI0011X Licence 2016035277 (MO)

Registry record

NPI
1174506455
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Nov 2005
Record last updated
10 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.