Kendra Gardner is a Pediatrics in Bentonville, Arkansas. Kendra Gardner practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kendra Gardner is 1811181688. The last update date is 2008-02-12.
Kendra Gardner's current location address is 500 Tiger Blvd, Bentonville, Arkansas. You can contact this provider via phone number 4794143129. The mailing address for Kendra Gardner is 500 Tiger Blvd, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Gardner |
|---|---|
| Address | 500 Tiger Blvd, Bentonville, Arkansas |
| Phone Number | 4794143129 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1811181688 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 500 Tiger Blvd |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727124208 |
| Phone Number | 4794143129 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OTR1951 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166595721 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kendra Gardner by the Centers for Medicare & Medicaid Services?
The Kendra Gardner has been issued the NPI (National Provider Identifier) 1811181688. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kendra Gardner is physically located?
The Kendra Gardner is physically situated at the following address: 500 Tiger Blvd, Bentonville, AR, 727124208.
What is Kendra Gardner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kendra Gardner is Pediatrics, and the taxonomy code that classifies this field of practice is 225Xp0200X.
On what date was the 1811181688 assigned to Kendra Gardner?
The Kendra Gardner was issued its 1811181688 on 2007-09-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kendra Gardner most recently updated or revised?
The details related to Kendra Gardner, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-12.
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