Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kenneth Gibbs, MD

Interventional Cardiology Physician in Lewiston, ID · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174506455

Verified

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Registry record

Entity type Individual (Type 1)

Name Kenneth Gibbs

Credential MD

Sex Male

Practice address 415 6th St, Lewiston, ID, 83501

Phone (208) 750-7445

Fax (208) 750-7395

Enumeration date Nov 21, 2005

Last updated in NPPES Sep 10, 2020

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License ME44229 (FL) Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 41676 (KY) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License ME44229 (FL) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License 2016035277 (MO) Secondary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License M-12671 (ID) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
005793300	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kenneth Gibbs?

Kenneth Gibbs is registered in NPPES with the primary taxonomy of Interventional Cardiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Jean Thomas Neurology Physician · Lewiston, ID NPI 1881695534 William Rowe Cardiovascular Disease Physician · Lewiston, ID NPI 1164414595 Mark Keane Neurology Physician · Lewiston, ID NPI 1427044643 Sheila Garvey Surgery Physician · Lewiston, ID NPI 1245227792 Jared Morton Internal Medicine Physician · Lewiston, ID NPI 1972592608 Natalie Olsen Pharmacist · Lewiston, ID NPI 1215911649 Kim Wilson Anatomic Pathology & Clinical Pathology Physician · Lewiston, ID NPI 1700863024 John Ho Vascular & Interventional Radiology Physician · Lewiston, ID NPI 1023096955

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-10.