KEVIN GARDNER, DO
Dermatology
Active
Individual
NPI: 1639490386
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dermatology | 207N00000X | No | 54109 (MN) |
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | No | 9332631-1204 (UT) |
Frequently Asked Questions
NPI 1639490386 is the National Provider Identifier for KEVIN GARDNER, DO, a Dermatology provider located in Provo, UT. This NPI was enumerated on June 17, 2010.
KEVIN GARDNER, DO practices at 1055 N 500 W, STE 111, Provo, UT 84604.
Quick Facts
- NPI
- 1639490386
- Type
- Individual
- Enumerated
- Jun 17, 2010
- Last Updated
- Sep 8, 2021
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