Individual
SHELBY MICHAEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1955 DIXIE HWY, FT WRIGHT, KY 41011-2792
(859) 341-6255
(859) 547-1197
Mailing address
2139 AUBURN AVENUE, ATTN: PAYOR ENROLLMENT 4-7, CINCINNATI, OH 45219
(513) 351-9900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57360
KY
Other
Enumeration date
03/24/2018
Last updated
12/16/2022
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