Individual
MR. JOHN ROSS GAMBREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3170 MAPLELEAF DR APT 1803, LEXINGTON, KY 40509-2626
(615) 972-7217
Mailing address
3170 MAPLELEAF DR APT 1803, LEXINGTON, KY 40509-2626
(615) 972-7217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5470A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078166
AANA
KY
01
—
1101217
NURSING LICENSE
KY
01
—
5470A
ARNP LICENSE
KY
Enumeration date
01/14/2008
Last updated
04/22/2022
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