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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
KY19637

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE INDIVIDUAL #127530701
GROUP #2753KY04
64196371KY05
C6437002
MEDICAID GROUP #710017290KY01
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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