Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Gibson, PA-C

Individual provider Dermatology Physician · NPI 1063392272

Kathleen Gibson, PA-C is a Dermatology Physician in Maitland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

146 Orange Pl
Maitland, FL 32751-6531
Phone: (407) 389-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence PA9120235 (FL)

Record details

NPI number1063392272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026

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