Individual
KIRSTEN ROSETTA GAMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF SURGERY, JACKSON, MS 39216-4500
(769) 226-2525
Mailing address
1846 HOWARD ST, JACKSON, MS 39202-1325
(769) 226-2525
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
70317
TN
208600000X
Surgery Physician
Primary
T-2430
MS
Other
Enumeration date
07/04/2011
Last updated
01/03/2024
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