Individual
KIRSTEN MARIE GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(774) 994-7378
Mailing address
675 CEDAR ST, WEST BARNSTABLE, MA 02668-1338
(774) 994-7378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
06/19/2023
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