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Kelon Gardner

NPI 1528705746 · on the registry since 2022 · sole proprietor

Practice

Address
535 Daffodil St
Mount Airy, LA 70076
Phone
(985) 248-2019

Registry record

Primary taxonomy
347E00000X
347E00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana