Kevin Hall Gardner, DO

NPI #1639490386 in Provo, Utah

Provider Information

NPI Number: 1639490386
Entity Type: Individual
Name: Kevin Hall Gardner, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: DO
Enumeration Date: Jun 17, 2010
Last Updated: Sep 8, 2021

Practice Location

Address: 1055 N 500 W
Address 2: STE 111
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 374-8999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dermatology	207N00000X	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X

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