Individual provider · Type 1 NPI
Gary Roscoe Gardner, D.C
Chiropractor · Louisville, KY
NPI number
1083620041
Active
Practice location
13106 Shelbyville Rd
Louisville, KY 40243-1572
Fax (502) 253-9933
Mailing address
5213 Windy Willow Dr
Louisville, KY 40241-1360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4707 (KY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1083620041
Gary Roscoe Gardner, D.C's National Provider Identifier is 1083620041, issued on Jul 31, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Louisville, KY. The record was last updated on Jul 9, 2007.