KENNETH A. GARDNER (NPI# 1710976352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710976352 |
| Entity Type | Individual |
| Full Name | KENNETH A. GARDNER |
| Credential | M.D. |
| Practice Address |
150 Fairview Court Eminence KY 40019 |
| Mailing Address |
100 E Liberty St Ste 800 Louisville KY 40202-1428 |
| Practice Telephone | 5028455672 |
| Practice Fax Number | 5028451402 |
| Mailing Telephone | 5028455672 |
| Mailing Fax Number | 5028451402 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 22049 | KY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 22049 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 0100485 | 01 | |
| ANTHEM | 00000048271 | 01 | |
| KY | 64220494 | 05 | |
| KY | ANTHEM | 00000048271 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598772063 | Kenneth Gary Gardner | Counselor | 1907 W. Sycamore St., Kokomo, IN 46904-9010 | 2006-08-01 |
| 1699338939 | Kenneth Gardner | Physical Therapist | 2780 E Barnett Rd Ste 200, Medford, OR 97504-8674 | 2019-04-22 |
| 1821559576 | Kenneth Edward Gardner | Psychologist | 32255 Northwestern Hwy, Farmington Hills, MI 48334-1566 | 2019-03-26 |
| 1376823104 | Kenneth L Gardner | Respiratory Therapist, Registered | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2011-08-24 |
| 1386838829 | Kenneth Lawrence Gardner | Marriage & Family Therapist | 1860 Walnut St, 1860 Walnut Street, Red Bluff, CA 96080-3611 | 2007-08-28 |
| 1265419329 | Kenneth E. Gardner | Radiology | 7301 Rogers Ave, Fort Smith, AR 72903-4100 | 2005-12-29 |
| Street Address |
150 FAIRVIEW COURT |
| City | EMINENCE |
| State | KY |
| Zip Code | 40019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973116 | Robert D Hazard | Physician Assistant | 150 Fairview Court, Eminence, KY 40019 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154693141 | Tessa D. Marie Puckett | Physical Therapist | 151 E Broadway St Ste B, Eminence, KY 40019 | 2012-02-06 |
| 1851434765 | Tim J Lee | Chiropractor | 4667 North Main St, Eminence, KY 40019 | 2007-02-14 |
| 1679539449 | Henry County County Treasurer | Ambulance | 716 S Property Rd, Eminence, KY 40019 | 2006-04-21 |
| 1831503358 | Erica Ryan Sparks | Dentist | 105 Eminence Ter, Eminence, KY 40019 | 2014-06-12 |
| 1952722449 | Henry Pharmacist Group, LLC | Durable Medical Equipment & Medical Supplies | 5551 S Main St, Eminence, KY 40019 | 2013-12-30 |
| 1578903142 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4894 N Main St, Eminence, KY 40019-1018 | 2013-06-27 |
| 1568503704 | Cupp Chiropractic Center, Inc | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-09 |
| 1497896294 | Bruce Frederick Cupp | Chiropractor | 4824 N Main St, Eminence, KY 40019-1018 | 2007-02-12 |
| 1568696847 | Lee Family Chiropractic, Pllc | Chiropractor | 4667 N Main St, Eminence, KY 40019-1019 | 2009-05-14 |
| 1891721205 | Cooks Pharmacy Inc | Pharmacy | 42 S Penn Ave, Eminence, KY 40019-1036 | 2006-06-25 |
| Find all providers in zip 40019 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343826 | Joseph Chester Francis Camire | Family Medicine | 17959 Main Street, Eminence, MO 65466 | 2005-08-12 |
| 1396871745 | Mercy Clinic-springfield Communities | Family Medicine | Highway 19 South, Eminence, MO 65466 | 2007-02-27 |
| 1902983075 | Dale E. Haverstick | Family Medicine | Highway 19 South, Eminence, MO 65466 | 2006-11-01 |
| 1952390569 | David A Jones | Family Medicine | 150 Fairview Ct, Eminence, KY 40019-1158 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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| 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.