Individual
MR. KYLE BENJAMIN GAMBREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(740) 383-8473
(740) 383-8695
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007238RX
OH
Other
Enumeration date
12/21/2017
Last updated
04/05/2023
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