Individual
MICHAEL R GABBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
420 HOPKINSVILLE ST, GREENVILLE, KY 42345-1102
(270) 377-2405
(270) 377-2406
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100411840
—
KY
Enumeration date
06/12/2013
Last updated
08/17/2016
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