Individual
KRISTIN KAY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
20 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 867-4304
Mailing address
2875 ROUTE 35, KATONAH, NY 10536-3181
(914) 666-0191
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
231012342
NY
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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