Gardner, Kelly Shannon

Gardner, Kelly Shannon is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gardner, Kelly Shannon can be contacted via phone (505) 913-8719.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 913-8719
Fax: (505) 995-4959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R56697 New Mexico

Profile Details

NPI number 1821333659
LBN Legal business name Gardner, Kelly Shannon
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Dec 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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