Individual
KIRSTEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 RIVERSIDE CIR STE 300, ROANOKE, VA 24016-4962
(540) 581-0238
Mailing address
7847 FOREST EDGE DR, ROANOKE, VA 24018-5844
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0116033802
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116033802
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/24/2017
Last updated
11/04/2021
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