Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY KYLE GAMBRELL, D.O.
Active Sole ProprietorDR. LARRY KYLE GAMBRELL, D.O. is a Facial Plastic Surgery healthcare provider located in SEBASTOPOL, California. NPI 1275621963 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · SEBASTOPOL, CA
Registration Details
- NPI Number
- 1275621963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.859219182783 yrs)
- Last Updated
- Mar 3, 2015
- License
-
20A9837 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6880 PALM AVENUESEBASTOPOL, CA, 95472Browse CA providers · Browse ZIP 95472
- Phone
- 7078237628
- Fax
- 7078231521
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.