Kenneth E. Gardner, M.d., P.a.
NPI #1952388191 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1952388191
- Entity Type
- Organization
- Organization Name
- Kenneth E. Gardner, M.d., P.a.
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7301 ROGERS AVE
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72903-4100
- Phone
- (479) 314-7545
Authorized Official
- Name
- DR. KENNETH E. GARDNER, M.D.
- Title
- PRESIDENT
- Phone
- (479) 314-7545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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