Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANN GARDINER, PA-C
Active Sole ProprietorKELLY ANN GARDINER, PA-C is a Physician Assistant healthcare provider located in MELBOURNE, Florida. NPI 1184237075 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MELBOURNE, FL
Registration Details
- NPI Number
- 1184237075
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2020 (6.0018071104941 yrs)
- Last Updated
- Sep 11, 2025
- License
-
PA9117668 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
580 N WICKHAM RD STE CMELBOURNE, FL, 329358400Browse FL providers · Browse ZIP 32935
- Phone
- 3212557118
- Fax
- 3212558391
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Primary Care Clinic
Other Physician Assistant Providers in MELBOURNE, FL
| Name | Credential | NPI |
|---|---|---|
| SARA JANE SENGEL | PA | 1033111323 |
| DENNIS RYAN | PA | 1700888989 |
| LYNN ANN MEYER | PA | 1578557567 |
| BEVERLY ANN COLLINS | PA C | 1700866647 |
| MRS. ANNE C GREGG | PA | 1295708568 |
| MR. DAMIAN L VELEZ | PA C | 1871566208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.