| Dr Gary Roscoe Gardner, DC | |
|
13106 Shelbyville Rd, Louisville, KY 40243-1572 | |
| (502) 253-0025 | |
| (502) 253-9933 |
| Full Name | Dr Gary Roscoe Gardner |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 13106 Shelbyville Rd, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083620041 | NPI | - | NPPES |
| 000000347132 | Other | KY | BCBS PROVIDER NUMBER |
| 50005767 | Medicaid | KY | |
| 650593 | Other | KY | UNITED HEALTH CARE NUMBER |
| 7135162 | Other | KY | AETNA PROVIDER NUMBER |
| 3428389 | Other | KY | CIGNA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4707 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Roscoe Gardner, DC 5213 Windy Willow Dr, Louisville, KY 40241-1360 Ph: (502) 241-6730 | Dr Gary Roscoe Gardner, DC 13106 Shelbyville Rd, Louisville, KY 40243-1572 Ph: (502) 253-0025 |
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