Individual
DR. MARY JEAN GAMBREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
PO BOX 634, PINEVILLE, KY 40977-0634
(606) 224-2591
(606) 654-2477
Mailing address
PO BOX 634, PINEVILLE, KY 40977-0634
(606) 224-2591
(606) 862-0142
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44482
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100156270
—
KY
Enumeration date
05/21/2007
Last updated
05/03/2024
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