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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811181688 NPPES
Arkansas MEDICAID 166595721

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