Individual
KENZEE KAY GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16603 W SOUTH AVE, TONKAWA, OK 74653-4707
(580) 557-0069
(580) 557-0089
Mailing address
16603 W SOUTH AVE, PO BOX 8, TONKAWA, OK 74653-4707
(580) 557-0069
(580) 557-0089
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4636
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001201
OBNDD
OK
01
—
4636
STATE
OK
Enumeration date
05/25/2021
Last updated
11/12/2025
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