Individual
DR. KIMBERLY RUTH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17503 NASSAU COMMONS BLVD, LEWES, DE 19958-6283
(302) 645-7919
Mailing address
17503 NASSAU COMMONS BLVD, LEWES, DE 19958-6283
(302) 645-7919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0011246
DE
2085R0202X
Diagnostic Radiology Physician
TBD
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2009
Last updated
03/13/2021
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