KELLY MARTIN GARDNER R.N NPI 1558623439

NPI Information

NPI: 1558623439
Provider Name: KELLY MARTIN GARDNER, R.N
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
1035 CRESWELL AVE
SHREVEPORT, LA
ZIP 71101
Phone: (318) 676-5623
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Kelly Martin Gardner, R.N is a community health registered nurse in Shreveport, LA. Kelly Martin Gardner, R.N NPI is 1558623439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1035 CRESWELL AVE
SHREVEPORT, LA
ZIP 71101-917
Phone: (318) 676-5623

The enumeration date for this NPI number is 6/15/2012 and was last updated on 6/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	RN089405	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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