NPI 1528418506

Casey Gardner, RDH

Practitioner Dental Hygienist Fort Campbell, KY

Practice location

Address: 3603 Indiana Ave, Fort Campbell, KY 42223-5803
Phone: (270) 798-3544
Fax: (270) 956-0266
Mailing address: 2441 21st St, Fort Campbell, KY 42223-5582

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 4531 (KY)

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Registry record

NPI: 1528418506
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2016
Record last updated: 7 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.