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

Kyle Gibson

Individual provider Physician Assistant · NPI 1679008635

Kyle Gibson is a Physician Assistant in Fort Madison, Iowa. Qualified in 2017, 9 years ago. Practices with Southeast Iowa Regional Medical Center Inc, a 258-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2017

Practice location Address checks out

5409 Avenue O
Fort Madison, IA 52627-9601
Phone: (319) 376-1135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 087297 (IA)

Record details

NPI number1679008635
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESApril 27, 2017
Mailing address10050 S Route N, Columbia, MO 65203-8998

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southeast Iowa Regional Medical Center Inc — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Madison