Individual
KYRA N GAMBREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1210 WEST 5TH STREET, LONDON, KY 40741-2112
(606) 864-4040
(606) 864-3500
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12171291
CAQH
—
01
—
6559P
ARNP
KY
Enumeration date
08/12/2010
Last updated
07/16/2019
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