Gardner, Kimberly

Gardner, Kimberly is an individual health care provider with primary practice located at 164 Mount Pelia Rd Ste 102 , Martin TN 38237-3835. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gardner, Kimberly can be contacted via phone (901) 587-6460.

Contact Information

Primary practice address
164 Mount Pelia Rd Ste 102 Martin TN 38237-3835
Phone: (901) 587-6460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1710097605
LBN Legal business name Gardner, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1710097605 NPPES
Tennessee Other 333 LICENSE #

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