Dermatology
KEVIN GARDNER DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639490386 · enumerated 2010-06-17 · record updated 2021-09-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT, 84604-3305 (801) 374-8999 Fax (801) 429-8063 Google Maps Apple Maps OpenStreetMap
- Practice location 1055 N 500 W, STE 111, PROVO, UT, 84604-3305 (801) 374-8999 Fax (801) 429-8063 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X
- Dermatology 207N00000X · Primary · License 9332631-1204 UT
- Dermatology 207N00000X · License 54109 MN
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · License 9332631-1204 UT
In this directory
Locations and evidence
-
Practice location
PROVO, UT, 846043305
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.