Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH J GARDNER, A.T.C.
ActiveMR. KEITH J GARDNER, A.T.C. is a Athletic Trainer healthcare provider located in ROSWELL, New Mexico. NPI 1336364124 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROSWELL, NM
Registration Details
- NPI Number
- 1336364124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.287185184089 yrs)
- Last Updated
- Oct 15, 2008
- License
-
72 (NM)
Practice Information
- Address
-
113 E COLLEGE BLVDROSWELL, NM, 882015158Browse NM providers · Browse ZIP 88201
- Phone
- 5756226500
- Fax
- 5756229777
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ROSWELL, NM
| Name | Credential | NPI |
|---|---|---|
| MR. JOSE O BARRON JR. | ATC, LAT | 1902891989 |
| MRS. LISA ELLEN SANDOVAL | ATC | 1689601924 |
| MR. PAUL L CHOAT | A.T.C. | 1326263138 |
| SCOTT T LONG | ATC,LAT | 1043646409 |
| PETER BRUZAS | LAT, ATC, CSCS | 1891151643 |
| ERIC I CARDONA | ATC, LAT | 1740781194 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.