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Contact Information

DONITTA L GARDINER
57950 LEAVENWORTH ST
MCCONNELL AFB, KS67221-3506
 Phone: 316-759-5864
 Fax: 316-759-5038
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DONITTA L GARDINER · (Female)

NPI Number 1154345783
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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