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

Keith D Gibson, PHD

Individual provider Psychologist · NPI 1801014204

Keith D Gibson, PHD is a Psychologist in Beloit, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1969 W Hart Rd
Beloit, WI 53511-2230
Phone: (608) 364-5686
Fax: (608) 363-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 522057 (WI)

Record details

NPI number1801014204
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressN2788 Walden Ln, Lake Geneva, WI 53147-3439

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