Gardner, Katrina Eileen

Gardner, Katrina Eileen is an individual health care provider with primary practice located at 1200 E Columbia Ave , Colville WA 99114-3354. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gardner, Katrina Eileen can be contacted via phone (509) 684-3701.

Contact Information

Primary practice address
1200 E Columbia Ave Colville WA 99114-3354
Phone: (509) 684-3701
Fax: (509) 684-5817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60301756 Washington

Profile Details

NPI number 1528379518
LBN Legal business name Gardner, Katrina Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2010
Last updated Oct 27th, 2014 - about 10 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 1528379518 NPPES
Washington Other RES000 RES000

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