Kenneth R Gamblin, M.D., P.C.

LBN: Kenneth R Gamblin, M.D., P.C.
Kenneth R Gamblin, M.D., P.C. is an health care organization with primary practice located at 963 E Colorado Ave , Colorado Springs CO 80903-3776. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Kenneth R Gamblin, M.D., P.C. can be contacted via phone (719) 578-1119, or through Gamblin, Kenneth R via phone (719) 578-1119.

Contact Information

Primary practice address
963 E Colorado Ave Colorado Springs CO 80903-3776
Phone: (719) 578-1119
Fax: (719) 578-1487
Website:
Map and Directions
Authorized official contact:
Name: Gamblin, Kenneth R
Phone: (719) 578-1119

Health care specialties

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

Profile Details

NPI number 1063783520
LBN Legal business name Kenneth R Gamblin, M.D., P.C.
DBA Doing business as
Authorized official Gamblin, Kenneth R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2012
Last updated Feb 11th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063783520 NPPES
Colorado MEDICAID 01173459

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