Individual
KAILE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
(270) 887-0100
Mailing address
320 W 18TH ST, HOPKINSVILLE, KY 42240-1965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016591
KY
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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