Gardiner, Kelly

Gardiner, Kelly is an individual health care provider with primary practice located at 12871 E Jefferson Ave , Detroit MI 48215-2754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gardiner, Kelly can be contacted via phone (313) 821-3900.

Contact Information

Primary practice address
12871 E Jefferson Ave Detroit MI 48215-2754
Phone: (313) 821-3900
Fax: (313) 217-4590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704170979 Michigan

Profile Details

NPI number 1447294970
LBN Legal business name Gardiner, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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