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DR. LARRY KYLE GAMBRELL D.O. NPI 1275621963

NPI Profile

NPI: 1275621963

Provider Name: DR. LARRY KYLE GAMBRELL, D.O.

Classification: Otolaryngology - 207YX0905X

Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

Organization: EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP

PECOS Registration: Yes

Address:
6880 PALM AVENUE
SEBASTOPOL, CA
ZIP 95472

Phone: (707) 823-7628

DR. Larry Kyle Gambrell, D.O. is an otolaryngology/facial plastic surgeon otolaryngologist in Sebastopol, CA with 14 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Larry Kyle Gambrell, D.O. NPI is 1275621963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year:2001

The provider's business location address is:

6880 PALM AVENUE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-7628
Fax: (707) 823-1521

The NPI 1275621963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/3/2015.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery 20A9837 CALIFORNIA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015