Individual
MRS. KAYLA MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 644-6115
Mailing address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(800) 726-3627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004258
OH
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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