| Doctor Name: | MR. ALVIN JOSEPH GIBBONS |
| NPI Number: | 1013240944 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PUBLIC HEALTH RN |
| License Number: | 134528 |
| Business Practice Address: | 650 Joel Drive Blanchfield Army Community Hospital Fort Campbell, KY - 422235349 |
| Business Phone Number: | 2709560100 |
| Business Fax Number: | |
| Mailing Address: | 650 Joel Drive, Blanchfield Army Community Hospital FORT CAMPBELL |
| State: | KY |
| Postal Code: | 42223 |
| Phone Number: | 2709560100 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2009 |
| NPI Last Update Date: | 09/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 134528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |