Individual
VIKKI L GAMBRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1004 PROGRESS DR, STE 170, LANSING, KS 66043-6323
(913) 828-0136
(913) 828-0296
Mailing address
PO BOX 269, GPMS C/O INTERVENTIONAL PAIN GROUP, LANSING, KS 66043-0269
(913) 828-0136
(913) 828-0296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1373885015
KS
163W00000X
Registered Nurse
2001008908
MO
163W00000X
Registered Nurse
55066
KS
163WP0000X
Pain Management Registered Nurse
55066
KS
367500000X
Certified Registered Nurse Anesthetist
2001008908
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
55066
KS
Other
Enumeration date
03/08/2006
Last updated
07/29/2022
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