Individual
MR. JOHN ANTHONY GARDNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 S MAIN ST STE 7, FRANKLIN, KY 42134-2322
(270) 745-7246
(270) 282-2027
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(270) 745-7246
(270) 282-2027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57.022765
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
51044
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100538630
—
KY
Enumeration date
04/03/2013
Last updated
03/25/2024
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