DR. KENNETH RAY GAMBLIN


Address: 963 E Colorado Ave, Colorado Springs, CO 80903-3776
Phone: 7195781119

DR. KENNETH RAY GAMBLIN (NPI# 1063418408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063418408
Entity Type Individual
Full Name DR. KENNETH RAY GAMBLIN
Credential MD
Practice Address 963 E Colorado Ave
Colorado Springs
CO 80903-3776
Practice Telephone 7195781119
Practice Fax Number 7195781487
Mailing Telephone 7195781119
Mailing Fax Number 7195781487
Enumeration Date 2005-06-21
Last Update Date 2009-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
17345 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 01173459 05

Office Location

Street Address 963 E COLORADO AVE
City COLORADO SPRINGS
State CO
Zip Code 80903-3776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063783520 Kenneth R Gamblin, M.d., P.C. Psychiatry & Neurology 963 E Colorado Ave, Colorado Springs, CO 80903-3776 2012-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235752437 Lisa Mae Bunch Behavior Technician 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 2020-05-21
1164045407 Lajanae Davis Behavior Technician 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 2020-05-21
1144855321 Quinn Macdonald Specialist/Technologist 1332 N Weber Street, Colorado Springs, CO 80903 2020-03-08
1043784994 Neuro Peak Performance, LLC Counselor 801 N. Weber St Suite 101, Colorado Springs, CO 80903 2019-01-14
1356828297 Heart of The Phoenix, LLC Social Worker 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 2018-07-24
1699269290 Jenevieve Marie Briand Day Training/Habilitation Specialist 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 2018-06-18
1669983292 Robin Dina Shankman Massage Therapist 127 E. Las Animas, Colorado Springs, CO 80903 2017-10-23
1023559804 Sean Michael Blumahrdt Specialist/Technologist, Other 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 2017-03-14
1366980682 Edge Medical Services Clinic/Center 152 West Colorado Ave, Colorado Springs, CO 80903 2017-02-07
1093267890 Brittany Nicole Holmes Behavioral Analyst 938 S Sierra Madre, Colorado Springs, CO 80903 2016-10-27
Find all providers in zip 80903

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417181751 Kevin N Batterbee D.o. LLC Psychiatry & Neurology 13255 Honey Run Way, Colorado Springs, CO 80921-2087 2009-05-14
1215196696 Deane Shore Berson Psychiatry & Neurology 1424 North Hancock Avenue 3 West, Deane Shore Berson Md, Colorado Springs, CO 80903 2008-06-02
1043477649 Rhonda Nicole Sims Psychiatry & Neurology 6915 Tutt Boulevard, Suite 110b, Colorado Springs, CO 80923-3591 2008-05-21
1699963280 Kurt Peters Psychiatry & Neurology 90 S Cascade Ave Ste 810, Colorado Springs, CO 80903-1675 2007-10-09
1184750408 Thomas P Kittelsen Psychiatry & Neurology 7680 Goddard St Ste 120, Colorado Springs, CO 80920-8233 2007-02-23
1831237098 Ardis Capprice Martin Psychiatry & Neurology 4740 Flintridge Dr, Suite 214, Colorado Springs, CO 80918-4253 2007-02-01
1700938289 Scott Helm Mcclure Psychiatry & Neurology 90 S Cascade Ave, Suite 810, Colorado Springs, CO 80903 2007-01-17
1497805188 David Udell Caster Psychiatry & Neurology 219 E Saint Vrain St, Colorado Springs, CO 80903-1121 2007-01-12
1962566695 Cynthia Pearl Rose Psychiatry & Neurology 90 South Cascade Ave, Colorado Springs, CO 80903-1675 2006-12-20
1144396847 Roger D Pumphrey Psychiatry & Neurology 100 E Saint Vrain St, Ste 200, Colorado Springs, CO 80903-4940 2006-11-27
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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