Individual
MRS. KIMBERLY E GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7611 FOREST AVE STE 320, RICHMOND, VA 23229-4946
(804) 200-7031
Mailing address
11737 DUXBURY CT, MIDLOTHIAN, VA 23114-5304
(804) 200-7031
(804) 477-1110
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024167252
VA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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