Veneica Gardner

NPI #1982169405 in Crestwood, Kentucky

Provider Information

NPI Number: 1982169405
Entity Type: Individual
Name: Veneica Gardner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 8, 2019
Last Updated: Feb 8, 2019

Practice Location

Address: 9222 FOXTAIL CT
City: Crestwood
State: Kentucky
ZIP Code: 40014-8509
Phone: (502) 724-3374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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