Individual
COLLIN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE AUDUBON PLAZA DRIVE, LOUISVILLE, KY 40217-1702
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1702
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57828
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300075464
—
IN
05
—
7100893170
—
KY
Enumeration date
05/30/2017
Last updated
07/25/2024
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