KELLY GARDINER

Nurse Practitioner

Active Individual
NPI: 1447294970

Practice Address

12871 E JEFFERSON AVE
Detroit, MI 48215

Phone: (313) 821-3900

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 4704170979 (MI)

Frequently Asked Questions

NPI 1447294970 is the National Provider Identifier for KELLY GARDINER, a Nurse Practitioner provider located in Detroit, MI. This NPI was enumerated on June 15, 2006.
KELLY GARDINER practices at 12871 E JEFFERSON AVE, Detroit, MI 48215.

Quick Facts

NPI
1447294970
Type
Individual
Enumerated
Jun 15, 2006
Last Updated
Feb 25, 2020

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