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General NPI Number Information
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NPI Number | 1639744295
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Entity Type | Individual
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Provider Name | KENZEE KAY GAMBRELL PA
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 16603 W SOUTH AVE
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City | TONKAWA
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State | OK
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Zip | 74653-4707
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Country | US
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Telephone | 580-557-0069
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Fax | 580-557-0089
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Provider Business Mailing Address
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Address Line | 16603 W SOUTH AVE PO BOX 8
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City | TONKAWA
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State | OK
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Zip | 74653-4707
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Country | US
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Telephone | 580-557-0069
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Fax | 580-557-0089
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4636
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License Number State | OK
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