Gamblin, Kenneth Ray

Gamblin, Kenneth Ray is an sole proprietor health care provider with primary practice located at 963 E Colorado Ave , Colorado Springs CO 80903-3776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gamblin, Kenneth Ray can be contacted via phone (719) 578-1119.

Contact Information

Primary practice address
963 E Colorado Ave Colorado Springs CO 80903-3776
Fax: (719) 578-1487

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17345 Colorado

Profile Details

NPI number 1063418408
LBN Legal business name Gamblin, Kenneth Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Aug 5th, 2009 - about 14 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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All States NPI 1063418408 NPPES
Colorado MEDICAID 01173459

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