Gamble, Kristie Kay

Gamble, Kristie Kay is an sole proprietor health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gamble, Kristie Kay can be contacted via phone (270) 825-5100.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1644
Phone: (270) 825-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3001377 Kentucky

Profile Details

NPI number 1407822729
LBN Legal business name Gamble, Kristie Kay
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Jan 8th, 2015 - about 9 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 1407822729 NPPES
Kentucky Other 000000201261 ANTHEM BCBS- BAPTIST HEALTH
Kentucky MEDICAID 74402942 ANTHEM BCBS- BAPTIST HEALTH

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