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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KELON GARDNER SR.

Active Sole Proprietor

MR. KELON GARDNER SR. is a Transportation Broker healthcare provider located in MOUNT AIRY, Louisiana. NPI 1528705746 is currently active in the NPPES registry. Verify at CMS.

Transportation Broker · MOUNT AIRY, LA

Registration Details

NPI Number
1528705746
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2022 (4.2626018731064 yrs)
Last Updated
May 18, 2022
License
007543185 (LA)
Sole Proprietor
Yes

Practice Information

Address
535 DAFFODIL ST
MOUNT AIRY, LA, 700762011
Browse LA providers · Browse ZIP 70076
Phone
9852482019
Primary Specialty
Transportation Broker
347E00000X
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.