Individual
MR. KYLE MARTIN GAMBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 NORTHSIDE DR APT 212, SAN DIEGO, CA 92108-6759
(760) 985-7397
Mailing address
2560 NORTHSIDE DR APT 212, SAN DIEGO, CA 92108-6759
(760) 985-7397
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037201
CA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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