Individual
COBRA CHAMBLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
810 W BRAMLEY ST, JETMORE, KS 67854-9320
(620) 357-8354
(620) 357-6460
Mailing address
PO BOX 310, JETMORE, KS 67854-0310
(620) 357-8361
(620) 357-6134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0550484
KS
207Q00000X
Family Medicine Physician
K8686
TX
207Q00000X
Family Medicine Physician
OS17772
FL
Other
Enumeration date
07/18/2006
Last updated
04/17/2025
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