Gamble, Kylie

Gamble, Kylie is an individual health care provider with primary practice located at 112 Adris Pl , Dothan AL 36303-1997. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gamble, Kylie can be contacted via phone (334) 618-3302.

Contact Information

Primary practice address
112 Adris Pl Dothan AL 36303-1997
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 23-313444 Alabama

Profile Details

NPI number 1356119705
LBN Legal business name Gamble, Kylie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2023
Last updated Dec 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356119705 NPPES
Other OTHER 23-313444

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