Kendra S Gardner (NPI# 1134628985, PAC ID# 4284998782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134628985 |
| PAC ID by PECOS | 4284998782 |
| Professional Enrollment ID | I20180509002336 |
| Full Name | Kendra S Gardner |
| Organization Legal Name | SENTRY REHAB LLC |
| Address |
725 Dunbar Ave Bay St Louis MS 39520-2920 |
| Phone Number | 2284663099 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325271943 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250040 | SINGING RIVER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 725 Dunbar Ave, Bay St Louis, MS 39520-2920 | 2284663099 | SENTRY REHAB LLC |
| 5090 Gautier Vancleave Rd, Gautier, MS 39553-4803 | 2285226700 | SENTRY REHAB LLC |
| Organization Legal Name | SENTRY REHAB LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mylissa Hodges | Occupational Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Peaches Palmer | Nurse Practitioner | Sentry Rehab LLC | 725 Dunbar Ave, Bay St Louis, MS 39520-2920 |
| Twanda Vershun Longino | Physical Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Kristy L Taylor | Qualified Speech Language Pathologist | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Street Address |
725 DUNBAR AVE |
| City | BAY ST LOUIS |
| State | MS |
| Zip | 39520-2920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peaches Palmer | Nurse Practitioner | Sentry Rehab LLC | 725 Dunbar Ave, Bay St Louis, MS 39520-2920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myron Tassin | Certified Registered Nurse Anesthetist | Hancock Medical Center | 149 Drinkwater Blvd, Bay St Louis, MS 39520 |
| Bertin C Chevis | Family Medicine | 849 Hwy 90, Bay Saint Louis, MS 39520-1600 | |
| Matthew T Capo | Physical Therapy | 833 Hwy 90, Suite 2, Bay St Louis, MS 39520-1601 | |
| Dimitri A Yanez | Obstetrics/gynecology | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| James C Crittenden | Internal Medicine | 1001 Benigno Ln, Bay Saint Louis, MS 39520-1602 | |
| Stacey Kreher | Nurse Practitioner | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| Leanne L Murray | Nurse Practitioner | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| Noel Marie Duplantier | Obstetrics/gynecology | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| Luella Williams | Nurse Practitioner | Coastal Family Health Center Inc | 109 Hospital Dr, Bay Saint Louis, MS 39520-1604 |
| Abigail M Lafleur | Nurse Practitioner | Coastal Family Health Center Inc | 109 Hospital Dr, Bay Saint Louis, MS 39520-1604 |
| Find all physicians in zip 39520 | |||
| City | BAY ST LOUIS |
| Zip Code | 39520 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAY ST LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kendra S Gardner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.