Kenneth R Gamblin, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17345 Issued in CO

Legal business name

KENNETH R GAMBLIN, M.D., P.C.

Practice address

963 E Colorado Ave
Colorado Springs, CO 80903-3776

Phone

(719) 578-1119

Fax

(719) 578-1487

NPI assigned

Jan 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth R Gamblin

Title

President

Phone

(719) 578-1119

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328918400000",
    "number": "1063783520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 E COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033776",
            "telephone_number": "719-578-1119",
            "fax_number": "719-578-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 E COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033776",
            "telephone_number": "719-578-1119",
            "fax_number": "719-578-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R GAMBLIN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-02-11",
        "status": "A",
        "authorized_official_last_name": "GAMBLIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-578-1119",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "17345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01173459",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Morgan Kenner, PSYD
• Lisa Kenner
• Kenneth C. Pollary DDS PLLC
• Kenneth D. Allred, PH.D., P.C.
• Kenneth O Gasper II DDS PC
• Angela Dee Kenney, QBHA, CPFS
• Kathleen S Kenny, RPH, PHARMD
• Michael Phillip Kenny, PSY.D.
• Jeffrey Kent, MD
• Julianna Marie Kent

• Psychiatry Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.