# DR. CHERIE O. GAMBREL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265692123
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036128438 | IL | — |
| 207Q00000X | Family Medicine Physician | 48556 | KY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 125055005 | IL | — |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 12/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100385270 | — | KY |
| 01 | — | P01246907 | RR MEDICARE | KY |