Individual
DR. JONATHAN DAVID GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 SPRINGHURST BLVD, LOUISVILLE, KY 40241-6100
(502) 897-9881
Mailing address
3810 SPRINGHURST BLVD, LOUISVILLE, KY 40241-6100
(502) 897-9881
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01072743A
IN
207W00000X
Ophthalmology Physician
Primary
47120
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2009
Last updated
01/26/2015
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