Gardner, Kathleen Carole

Gardner, Kathleen Carole is an individual health care provider with primary practice located at 1762 Mars Hill Rd Nw , Acworth GA 30101-8091. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gardner, Kathleen Carole can be contacted via phone (678) 732-1506.

Contact Information

Primary practice address
1762 Mars Hill Rd Nw Acworth GA 30101-8091
Phone: (678) 732-1506
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2761292 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ANRP2761292 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN266196 Georgia

Profile Details

NPI number 1972560266
LBN Legal business name Gardner, Kathleen Carole
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Apr 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972560266 NPPES
Florida MEDICAID 266537900
Florida MEDICAID 003229203A

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