Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHADWICK E GAMBRELL, DO
Active Sole ProprietorFamily Medicine · PINEVILLE, KY
Registration Details
- NPI Number
- 1578903118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2013 (12.848251943534 yrs)
- Last Updated
- Apr 23, 2018
- License
-
R3393 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 W VIRGINIA AVEPINEVILLE, KY, 409771661Browse KY providers · Browse ZIP 40977
- Phone
- 6063375215
- Fax
- 6063371128
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PINEVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| SHAWN SHADELL FUGATE | M.D. | 1609813807 |
| NICHOLAS J DAWSON FUGATE | DO | 1477058071 |
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.