Search › Utah › 207N00000X
Kevin Gardner, DO
NPI 1639490386 · on the registry since 2010
Practice
- Address
- 1055 N 500 W
Ste 111
Provo, UT 84604 - Phone
- (801) 374-8999
- Fax
- (801) 429-8063
- Organisation at this address
- Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 390200000X
207N00000X
207ND0101X - Licence states on file
- UT, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah