Individual
GABRIEL JOEL FARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
357 MANITOBA LN, LEXINGTON, KY 40515-4830
(859) 447-5972
Mailing address
357 MANITOBA LN, LEXINGTON, KY 40515-4830
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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