Individual
JESSICA B GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2865 CHANCELLOR DR STE 120, CRESTVIEW HILLS, KY 41017-3915
(859) 341-5400
(859) 578-3172
Mailing address
2865 CHANCELLOR DR STE 120, CRESTVIEW HILLS, KY 41017-3915
(859) 341-5400
(859) 578-3172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.144445
OH
208000000X
Pediatrics Physician
Primary
56641
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2019
Last updated
10/23/2022
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