# KIMBERLY GAMBINO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417511973
- **Authorized official:** MR. JAMES VINCENT GAMBINO III (OFFICE MANAGER)
- **Authorized official phone:** (270) 505-3835

## Contact information

- **Practice address:** 103 E SOUTH ST, MUNFORDVILLE, KY 42765-9023
- **Practice address phone:** (270) 524-7939
- **Practice address fax:** (877) 395-1445
- **Mailing address:** PO BOX 657, MUNFORDVILLE, KY 42765-0657
- **Mailing address phone:** (270) 505-3835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 03/16/2023