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1699338939
KENNETH GARDNER
NAMPA, ID
NPI
1699338939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 8980)
Enumeration Date
2019-04-22
Last Update Date
2023-12-21
Business Address
KENNETH GARDNER DPT
2005 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-463-0022
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Mailing Address
KENNETH GARDNER DPT
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 951-374-7288
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