Individual
MS. KATHLEEN CAROLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1762 MARS HILL RD NW, ACWORTH, GA 30101-8091
(678) 732-1506
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(727) 992-3409
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN266196
GA
363LF0000X
Family Nurse Practitioner
Primary
ANRP2761292
FL
367A00000X
Advanced Practice Midwife
ARNP2761292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003229203A
—
GA
05
—
266537900
—
FL
Enumeration date
04/28/2006
Last updated
04/14/2020
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