Individual
MR. JOHN KEVIN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
2108 E 3RD ST STE 100, CHATTANOOGA, TN 37404-2623
(423) 493-2395
(423) 493-2368
Mailing address
979 E 3RD ST STE 300, CHATTANOOGA, TN 37403-2187
(423) 757-0792
(423) 757-0770
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PRO94
TN
Other
Enumeration date
02/13/2007
Last updated
11/18/2015
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