Gardner, Kevin Hall

Gardner, Kevin Hall is an individual health care provider with primary practice located at 1055 N 500 W Ste 111, Provo UT 84604-3305. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gardner, Kevin Hall can be contacted via phone (801) 374-8999.

Contact Information

Primary practice address
1055 N 500 W Ste 111 Provo UT 84604-3305
Phone: (801) 374-8999
Fax: (801) 429-8063
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 / Dermatology 207N00000X 9332631-1204 Utah
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 54109 Minnesota
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 9332631-1204 Utah

Profile Details

NPI number 1639490386
LBN Legal business name Gardner, Kevin Hall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Sep 8th, 2021 - about 3 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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