NPI 1720120900

John Kevin Gardner, CP

Practitioner Prosthetist Chattanooga, TN

Practice location

Address: 2108 E 3rd St STE 100, Chattanooga, TN 37404-2623
Phone: (423) 493-2395
Fax: (423) 493-2368
Mailing address: 979 E 3rd St STE 300, Chattanooga, TN 37403-2187

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PRO94 (TN)

Other Prosthetist providers in Tennessee →

Registry record

NPI: 1720120900
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2007
Record last updated: 18 Nov 2015

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.