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

Kerri Lyn Gibson, MD

Individual provider Family Medicine Physician · NPI 1104124221

Kerri Lyn Gibson, MD is a Family Practice in Dayton, Ohio. Graduated from University of Toledo College of Medicine in 2009, 17 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
17
Trained at
University of Toledo College of Medicine
Licensed in
IL, OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3969 Salem Ave
Dayton, OH 45406-1529
Phone: (937) 281-7040
Fax: (937) 281-7049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1701 E College Ave, Bloomington, IL 61704-2101 — (309) 664-3000
  • 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 — (937) 268-6511

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036177585 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35.096519 (OH)

Record details

NPI number1104124221
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2011
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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