Gardner, Kendra
Gardner, Kendra is an sole proprietor health care provider with primary practice located at 500 Tiger Blvd , Bentonville AR 72712-4208. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gardner, Kendra can be contacted via phone (479) 414-3129.Contact Information
Primary practice address
500 Tiger Blvd
Bentonville AR 72712-4208
Phone: (479) 414-3129
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1951 | Arkansas |
Profile Details
NPI number | 1811181688 |
---|---|
LBN Legal business name | Gardner, Kendra |
Credentials | OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 5th, 2007 |
Last updated | Feb 12th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811181688 | NPPES |
Arkansas | MEDICAID | 166595721 |
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