Organization
KIMBERLY GAMBINO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES VINCENT GAMBINO III (OFFICE MANAGER)
(270) 505-3835
Entity
Organization
Contact information
Practice address
103 E SOUTH ST, MUNFORDVILLE, KY 42765-9023
(270) 524-7939
(877) 395-1445
Mailing address
PO BOX 657, MUNFORDVILLE, KY 42765-0657
(270) 505-3835
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
03/16/2023
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