Gambla, Kurt Michael

Gambla, Kurt Michael is an individual health care provider with primary practice located at 989 Ribaut Rd Suite 260, Beaufort SC 29902-5472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gambla, Kurt Michael can be contacted via phone (843) 522-7600.

Contact Information

Primary practice address
989 Ribaut Rd Suite 260 Beaufort SC 29902-5472
Fax: (843) 522-7612
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 000267 South Carolina

Profile Details

NPI number 1982699591
LBN Legal business name Gambla, Kurt Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 4th, 2019 - about 5 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 1982699591 NPPES
South Carolina MEDICAID 002678

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