Gamble, Kathy Cooper

Gamble, Kathy Cooper is an individual health care provider with primary practice located at 11700 Mercy Blvd Ste 5, Savannah GA 31419-1753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gamble, Kathy Cooper can be contacted via phone (912) 927-6270.

Contact Information

Primary practice address
11700 Mercy Blvd Ste 5 Savannah GA 31419-1753
Phone: (912) 927-6270
Fax: (912) 927-6254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN112436 Georgia

Profile Details

NPI number 1508916669
LBN Legal business name Gamble, Kathy Cooper
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 19th, 2014 - about 11 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 1508916669 NPPES
Georgia MEDICAID 221012519B

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