Individual
KRISTEN GAMBARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PROCESSING
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
04/28/2026
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