Individual
KELLY P GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
999 LAKE HUNTER CIR STE D, MOUNT PLEASANT, SC 29464-5427
(843) 375-0270
Mailing address
999 LAKE HUNTER CIR STE D, MOUNT PLEASANT, SC 29464-5427
(843) 375-0270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP002302Q
PA
Other
Enumeration date
06/02/2008
Last updated
02/24/2022
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