Individual
MS. KERRY LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14016 A ST S, TACOMA, WA 98444-4662
(253) 503-3649
(253) 292-1629
Mailing address
1509 HARRISON AVE, CENTRALIA, WA 98531-4568
(360) 736-0112
(360) 736-9252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00058062
WA
Other
Enumeration date
11/12/2011
Last updated
07/29/2023
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