Kenneth Ray Gamblin MD

NPI 1063418408 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063418408
Gender Male
Enumeration Date 06/21/2005
Last Updated 08/05/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
963 E COLORADO AVE
COLORADO SPRINGS CO, 80903-3776, US
Phone (719) 578-1119
Fax (719) 578-1487
Business Location
963 E COLORADO AVE
COLORADO SPRINGS CO, 80903-3776, US
Phone (719) 578-1119
Fax (719) 578-1487
Toxanomy
Taxonomy Code 2084P0800X
License State Colorado
License Number 17345
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According to our database, Dr. Kenneth Ray Gamblin MD NPI is 1063418408, taxonomy code is 2084P0800X and license number is 17345, license state is located at Colorado. Kenneth Ray Gamblin MD physically located at 963 E Colorado Ave, Colorado Springs CO, 80903-3776. NPI Number Kenneth Ray Gamblin MD has the Individual type.

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1063418408 NPI number is provided on an as is basis without warranty of any kind. 1063418408 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Ray Gamblin MD are for informational purposes only.