Individual provider · Type 1 NPI

Kevin Hall Gardner, DO

Dermatology Physician · Provo, UT

NPI number 1639490386 Active

Practice location

1055 N 500 W, Ste 111
Provo, UT 84604-3305

Call (801) 374-8999 Map

Fax (801) 429-8063

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dermatology Physician Primary 207N00000X9332631-1204 (UT)
Dermatology Physician 207N00000X54109 (MN)
MOHS-Micrographic Surgery Physician 207ND0101X9332631-1204 (UT)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1639490386

Kevin Hall Gardner, DO's National Provider Identifier is 1639490386, issued on Jun 17, 2010. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Provo, UT. The record was last updated on Sep 8, 2021.