NEVEN JOHN GARDNER MD

Allergy and Immunology

Lexington, Kentucky

Provider NPI: 1689676686

Provider Information:
 NEVEN JOHN GARDNER MD


Practice Location:
166 PASADENA DR SUITE 150 LEXINGTON, KY 40503 US
Tel: 859-276-1452  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	KY	19637

Other Provider Identifiers:

Issuer	Number	State	Type
MEDICARE INDIVIDUAL #	1275307		01
MEDICAID GROUP #	710017290	KY	01
	64196371	KY	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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