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

Mr. Kevin Lee Gardner, MD

Individual provider Family Medicine Physician · NPI 1790897452

Mr. Kevin Lee Gardner, MD is a Family Practice in Layton, Utah. Graduated from University of Utah School of Medicine in 1997, 29 years ago. Practices with Jordan Ridge Family Medicine LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
29
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1580 W Antelope Dr Ste 200
Layton, UT 84041-1160
Phone: (801) 773-4770
Fax: (801) 773-4776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23267021205 (UT)

Record details

NPI number1790897452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 29, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Jordan Ridge Family Medicine Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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