MR. John Kevin Gardner, C.P.

NPI #1720120900 in Chattanooga, Tennessee

Provider Information

NPI Number: 1720120900
Entity Type: Individual
Name: MR. John Kevin Gardner, C.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Credential: C.P.
Enumeration Date: Feb 13, 2007
Last Updated: Nov 18, 2015

Practice Location

Address: 2108 E 3RD ST STE 100
City: Chattanooga
State: Tennessee
ZIP Code: 37404-2623
Phone: (423) 493-2395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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