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Kenneth A. Gardner, MD
Family Medicine Physician in Eminence, Kentucky
NPI 1710976352

Kenneth A. Gardner is a Family Medicine Physician based in Louisville, KY. Kenneth A. Gardner practices in Eminence, KY and has the professional credentials of MD. The NPI Number for Kenneth A. Gardner is 1710976352 and holds a License No. 22049 (Kentucky).

The current practice location address for Kenneth A. Gardner is 150 Fairview Court, Eminence, KY and can be reached out via phone at 502-845-5672 and via fax at 502-845-1402.

Location: 150 Fairview Court, Eminence, KY, 40202-1428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710976352
Provider Name
Kenneth A. Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Fairview Court, Eminence, KY, 40202-1428
Phone Number
502-845-5672
Fax Number
502-845-1402
Provider Enumeration Date
10/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64220494 05 KY
00000048271 01 KY ANTHEM
00000048271 01 ANTHEM
0100485 01 UHC
institution
Provider Business Practice Location Address Details
Address
150 Fairview Court
City
Eminence
State
Kentucky
Zip
40019
Phone Number
502-845-5672
Fax Number
502-845-1402
person
Provider Business Mailing Address Details
Address
150 Fairview Court
City
Eminence
State
Kentucky
Zip
40019
Phone Number
502-845-5672
Fax Number
502-845-1402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
22049 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
22049 (Kentucky)
Definition
Definition to come...
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