Individual
DR. DONNA KEETER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11016 QUIVIRA RD, OVERLAND PARK, KS 66210-1239
(913) 469-8010
Mailing address
11016 QUIVIRA RD, OVERLAND PARK, KS 66210-1239
(913) 469-8010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5815
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19569013
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/24/2006
Last updated
07/08/2007
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