Kelly Gardiner
Nurse Practitioner | 28+ years Exp
12871 E Jefferson Ave, Detroit
Michigan, 48215-2754
313-821-3900
Kelly Gardiner is a Detroit, Michigan based nurse practitioner with 28 years of experience in . She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Gardiner is 4704170979 in Michigan. Her current practice location is 12871 E Jefferson Ave, Detroit. Patients can reach her at 313-821-3900 or can fax her at 313-217-4590 and her NPI number (Unique professional ID assigned by NPPES) is 1447294970.
Kelly Gardiner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Gardiner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Gardiner |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Experience: | 28+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1997 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12871 E Jefferson Ave, Detroit,
Michigan, 48215-2754 |
| Phone: | 313-821-3900 |
| Fax: | 313-217-4590 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9931090933 |
| Enrollment ID: | I20040325000041 |
| NPI Number: | 1447294970 |
| NPI Enumeration Date: | 15 Jun, 2006 |
| NPI Last Update On: | 25 Feb, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Gardiner are as mentioned below.
| License Number | Specialization | State | Status | |
| 4704170979 | | Michigan | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelly Gardiner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Excelsior Psychological Services Plc (7012234644) | 4 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Gardiner
12871 E Jefferson Ave,
Detroit, Michigan |
| Zip: | 48215-2754 |
| Phone Number: | 313-821-3900 |
| Fax Number: | 313-217-4590 |
Patients can reach Kelly Gardiner at
12871 E Jefferson Ave, Detroit, Michigan or can
call to book an appointment on 313-821-3900.
Comments/ Reviews:
Patients can read all the reviews posted for Kelly Gardiner below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Kelly Gardiner. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.