KEVIN HALL GARDNER DO
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1639490386- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1055 N 500 W STE 111, PROVO, UT, 846043305
- Phone
- (801) 374-8999
- Fax
- (801) 429-8063
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: UT #9332631-1204
Dermatology
License: MN #54109
Dermatology, MOHS-Micrographic Surgery
License: UT #9332631-1204