Veneica Gardner
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Crestwood, KY
NPI 1982169405 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1982169405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 9222 Foxtail CT
Crestwood, KY 40014-8509 - Phone
- (502) 724-3374
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
9222 Foxtail CT
Crestwood, KY 40014-8509
Mailing address
9222 Foxtail CT
Crestwood, KY 40014-8509
Other providers in Crestwood, KY
- Lawrence Edward Fleischer
- Allison Flick
- Amy Lynn Fowkes
- Amy S French
- Paula Rae Galvez
- Donna Gatewood
- Lori Ann Gentner
- Amyee Gibbons
- Renee V Girdler
- Tara Bramblette Gnau
All providers in Crestwood, KY · Student in an Organized Health Care Education/Training Program in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.