Provider Demographics
NPI:1659186799
Name:GAMBLE, DEVIN A
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:A
Last Name:GAMBLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3735 N SHILOH AVE
Mailing Address - Street 2:
Mailing Address - City:KENESAW
Mailing Address - State:NE
Mailing Address - Zip Code:68956-1648
Mailing Address - Country:US
Mailing Address - Phone:402-460-8653
Mailing Address - Fax:
Practice Address - Street 1:3735 N SHILOH AVE
Practice Address - Street 2:
Practice Address - City:KENESAW
Practice Address - State:NE
Practice Address - Zip Code:68956-1648
Practice Address - Country:US
Practice Address - Phone:402-460-8653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion