KIMBERLY GAMBINO LLC
NPI 1417511973
Nurse Practitioner - Psychiatric/Mental Health in Munfordville, KY

Q: What is Kimberly Gambino LLC's NPI number?

The NPI number for Kimberly Gambino LLC is 1417511973. It was assigned to this organization in the NPPES registry on April 30, 2019.

Q: What is Kimberly Gambino LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 30, 2019CLIA 18D2298777 · Microscopy

103 E SOUTH ST, MUNFORDVILLE, KY 42765(270) 524-7939(877) 395-1445 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2023, Feb 2, 2021, May 22, 2020 and 1 more (4 updates tracked since 2019).

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About Kimberly Gambino Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY GAMBINO LLC (NPI 1417511973) is a healthcare organization registered as a psychiatric/mental health in Munfordville, Kentucky and active in the NPI registry since April 2019. The organization holds a CLIA Microscopy certificate valid through February 7, 2028 and lists James Vincent Gambino, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417511973

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameKIMBERLY GAMBINO LLC

Location Address103 E SOUTH STMunfordville, KY 42765-9023

Mailing AddressPo Box 657Munfordville, KY 42765-0657 · (270) 505-3835

Phone(270) 524-7939

Fax(877) 395-1445

Organization SubpartNo

Authorized OfficialJames Vincent GambinoOffice Manager · (270) 505-3835

Enumeration DateApril 30, 2019

Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration

NPPES CertifiedMarch 16, 2023

✔ NPI 1417511973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

103 E SOUTH ST, Munfordville, KY 42765

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2298777

Kimberly Gambino LLC · Munfordville, KY

Active · expires Feb 7, 2028

CLIA Number18D2298777

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 8, 2026

Certificate Expiration DateFebruary 7, 2028

Laboratory DirectorMs. Kimberly R. Gambino

Laboratory Phone(270) 524-7939

Laboratory LocationKimberly Gambino LLC103 E South Street, Munfordville, KY 42765

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLY SIMONE WISE

Case Manager/Care Coordinator