Individual
KATHLEEN GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
200 MARTIN LUTHER KING BLVD, WICHITA FALLS, TX 76301-1152
(940) 766-6306
Mailing address
5306 RIVIERA DR, WICHITA FALLS, TX 76310-3033
(940) 232-0087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1171636
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1171636
TX
Other
Enumeration date
09/07/2024
Last updated
09/19/2024
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