Individual
MS. KEDISHA RUCHEL GARDENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 TRAIL RIDGE RD, ALBION, IN 46701-1541
(260) 440-0168
Mailing address
1633 ANCONIA CV, FORT WAYNE, IN 46845-0138
(260) 440-0168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012558A
IN
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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