Gardner, Kenneth
Gardner, Kenneth is an individual health care provider with primary practice located at 2005 12Th Ave Rd , Nampa ID 83686-6311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gardner, Kenneth can be contacted via phone (208) 463-0022.Contact Information
Primary practice address
2005 12Th Ave Rd
Nampa ID 83686-6311
Phone: (208) 463-0022
Fax: (208) 463-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8980 | Idaho |
Profile Details
| NPI number | 1699338939 |
|---|---|
| LBN Legal business name | Gardner, Kenneth |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2019 |
| Last updated | Dec 21st, 2023 - about 3 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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