Question 1

What type of a medical provider is Kelly Gardiner?

Accepted Answer

Kelly Gardiner is a Nurse Practitioner.

Question 2

Where does Kelly Gardiner practice medicine?

Accepted Answer

Kelly Gardiner has the following practice address:12871 E JEFFERSON AVE, DETROIT, MI 48215-2754

Question 3

Does this provider have a license number?

Accepted Answer

Kelly Gardiner has the following license number: License Number 4704170979 issued in Michigan.

Question 4

Does Kelly Gardiner accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Kelly Gardiner have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Kelly Gardiner a member of any Medical Groups?

Accepted Answer

Kelly Gardiner is affiliated with 2 medical groups in the DETROIT area, including DELTA FAMILY CLINIC SOUTH PC.

Question 7

Does Kelly Gardiner participate in PECOS?

Accepted Answer

Yes, Kelly Gardiner participates in PECOS.

Question 8

What phone number can I call to contact Kelly Gardiner?

Accepted Answer

You can call the following number: (313)-821-3900

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Kelly Gardiner.

Question 10

Is Kelly Gardiner  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 5 years ago (2/25/2020).

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20040325000041
PECOS Individual PAC ID:	9931090933
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Kelly Gardiner

Overview