Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Gardiner

Individual provider Nurse Practitioner · NPI 1447294970

Kelly Gardiner is a Nurse Practitioner in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

12871 E Jefferson Ave
Detroit, MI 48215-2754
Phone: (313) 821-3900
Fax: (313) 217-4590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704170979 (MI)

Record details

NPI number1447294970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

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