Individual
LEAH BETH GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 CONCORD RD, CARLISLE, KY 40311-9401
(859) 405-5204
Mailing address
555 CONCORD RD, CARLISLE, KY 40311-9401
(859) 405-5204
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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