Individual provider · NPI-1

Kevin Ray Gamble

Pharmacy Technician · Livonia, MI

NPI number1386852549
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1386852549
Entity type
Individual (NPI-1)
Name
Mr. Kevin Ray Gamble
Sex
Male
Sole proprietor
Yes
Enumeration date
May 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technician120104451938143MIYes

Practice location

29200 Schoolcraft Rd
Livonia, MI 48150-2228

Phone 734-523-1710

Mailing address

1961 Ridgeview
Lot 7
Ypsilanti, MI 48198-9515

Phone 734-485-1319

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacy Technician providers in Livonia, MI