Individual
KIM JO GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 BENJAMIN ST, LEXINGTON, OH 44904-8008
(419) 565-8286
Mailing address
86 BENJAMIN ST, LEXINGTON, OH 44904-8008
(419) 565-8286
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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