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MR. KENNEDY LEE GIBBS MEDICAL STUDENT MD
NPI 1851138242
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since July 11, 2024
2 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604(423) 379-8082(423) 379-8154 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 26, 2026, Jul 11, 2024 (2 updates tracked since 2024).

About Mr. Kennedy Lee Gibbs Medical Student Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNEDY LEE GIBBS MEDICAL STUDENT MD (NPI 1851138242) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1851138242
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. KENNEDY LEE GIBBSCredential: MEDICAL STUDENT MD
Location Address2 PROFESSIONAL PARK DR STE 21Johnson City, TN 37604-6584
Mailing Address2 Professional Park Dr Ste 21Johnson City, TN 37604-6584 · (423) 379-8082 · Fax (423) 379-8154
Phone(423) 379-8082
Fax(423) 379-8154
Sole ProprietorNo
Enumeration DateJuly 11, 2024
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1851138242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 PROFESSIONAL PARK DR STE 21, Johnson City, TN 37604
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK TUSKEY DO
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 439-8000
MICHELLE L ARWOOD MSW
Social Worker (Clinical)
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8120
RACHEL MARIE WITT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8120
ZACHARY PIERSON DO
Psychiatry & Neurology (Psychiatry)
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8120
DR. TYLER NATEE INDRANOI MD, MPH
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8082
JOHN WILLIAM COUNTS MD
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8120
LEA ANN MARIE CUTSHALL
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8082
DR. JANESSA RICH MD
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN 37604
Washington County (423) 379-8082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Gibbs's NPI number?

The NPI number for Kennedy Gibbs is 1851138242. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Kennedy Gibbs located?

Kennedy Gibbs practices at 2 Professional Park Dr Ste 21, Johnson City, TN 37604. The listed phone number is (423) 379-8082.

What is Kennedy Gibbs's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kennedy Gibbs was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.