Individual
KAILE GARDINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
1840 S 1300 E, SALT LAKE CITY, UT 84105-3697
(801) 832-2200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10395806-4405
UT
Other
Enumeration date
04/12/2021
Last updated
06/23/2023
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