Individual
DR. KYLE D GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 E 25TH ST, KANSAS CITY, MO 64108-2716
(816) 235-2100
Mailing address
611 LEGENDS BLUFFS CT, EUREKA, MO 63025-3723
(314) 662-6005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2022021939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022021939
—
MO
Enumeration date
06/24/2022
Last updated
06/24/2022
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