Gardner, Keshawn

Gardner, Keshawn is an sole proprietor health care provider with primary practice located at 1248 Berry Ln , Flossmoor IL 60422. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Gardner, Keshawn can be contacted via phone (708) 215-1604.

Contact Information

Primary practice address
1248 Berry Ln Flossmoor IL 60422
Phone: (708) 215-1604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 157289 Illinois

Profile Details

NPI number 1437541190
LBN Legal business name Gardner, Keshawn
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2015
Last updated Jul 25th, 2018 - about 6 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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