KEVIN GREGORY GARDNER (NPI# 1265066229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265066229 |
| Entity Type | Individual |
| Full Name | KEVIN GREGORY GARDNER |
| Credential | MT |
| Practice Address |
4701 Kenmore Ave Suite 121 Alexandria VA 22304-2230 |
| Mailing Address |
4701 Kenmore Ave Suite 121 Alexandria VA 22304-1203 |
| Practice Telephone | 7038610890 |
| Mailing Telephone | 7038610890 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019012178 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4701 Kenmore Ave Apt 121, Alexandria, VA 223041203 | 7038610890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346358769 | Kevin M Gardner | Optometrist | 1531 W 32nd Street, Suite 102, Joplin, MO 64804-1651 | 2006-08-27 |
| 1114457033 | Kevin Gardner | Pharmacist | 4320 S Nc Highway 150, Lexington, NC 27295-5161 | 2017-06-13 |
| 1407242373 | Kevin Gardner | Emergency Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2015-04-08 |
| 1790125409 | Kevin Lawrence Gardner | Special Hospital | National Institutes of Health, 37 Convent Dr. Bldg 37, Rm 1042, Bethesda, MD 20892-0001 | 2013-06-26 |
| 1639490386 | Kevin Hall Gardner | Dermatology | 1055 N 500 W, Ste 111, Provo, UT 84604-3305 | 2010-06-17 |
| 1790897452 | Kevin Lee Gardner | Family Medicine | 1580 W Antelope Dr, Suite 200, Layton, UT 84041-1160 | 2006-08-31 |
| 1245229798 | Kevin K Gardner | Physical Therapist | 28 New Driftway, Scituate, MA 02066-4532 | 2005-10-18 |
| Street Address |
4701 KENMORE AVE SUITE 121 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371783 | Laura J Garza-wilt | Massage Therapist | 5951 Franconia Rd, Alexandria, VA 22310-1738 | 2020-09-22 |
| 1730795105 | Gene Ewing Mckevie | Massage Therapist | 4921 Seminary Rd Apt 618, Alexandria, VA 22311-1849 | 2020-09-21 |
| 1053925446 | Felicia Graham | Massage Therapist | 1414 Prince St, Alexandria, VA 22314-2896 | 2020-09-02 |
| 1790399368 | Anna Maria Quayle | Massage Therapist | 6509 Berkshire Dr, Alexandria, VA 22310-3053 | 2020-09-01 |
| 1467063768 | Stephanie Wiggins | Massage Therapist | 718 N Jordan St Apt 204, Alexandria, VA 22304-6847 | 2020-08-11 |
| 1942776083 | Younjae Lee | Massage Therapist | 6200 Old Franconia Rd Ste B, Alexandria, VA 22310-3408 | 2018-10-16 |
| 1124517867 | Alicia Marie Levy | Massage Therapist | 26 Canterbury Sq Apt 301, Alexandria, VA 22304-3061 | 2018-05-08 |
| 1568962645 | Nichole Danraj | Massage Therapist | 3543 W Braddock Rd Ste 200, Alexandria, VA 22302-1900 | 2018-02-15 |
| 1457876781 | Adriene Sanderson | Massage Therapist | 3335 Jackson St, Alexandria, LA 71301-4035 | 2017-08-08 |
| 1255853404 | Laszlo Balazs | Massage Therapist | 1300 Lafayette Dr, Alexandria, VA 22308-1106 | 2017-07-10 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
Please comment or provide details below to improve the information on KEVIN GREGORY GARDNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.