Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY GARDNER, PA-C
ActiveKELLY GARDNER, PA-C is a Physician Assistant healthcare provider located in CHARDON, Ohio. NPI 1629315239 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARDON, OH
Registration Details
- NPI Number
- 1629315239
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2013 (13.588603388393 yrs)
- Last Updated
- Nov 17, 2015
Practice Information
- Address
-
13207 RAVENNA RDCHARDON, OH, 440247032Browse OH providers · Browse ZIP 44024
- Phone
- 3306569304
- Fax
- 3306565901
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHARDON, OH
| Name | Credential | NPI |
|---|---|---|
| HANS BOTZKI | PA | 1922198985 |
| CARYN HOANG | PA-C | 1992026686 |
| JULIE STUPI | — | 1285188326 |
| JOCELYN GROSS | PA-C | 1568951861 |
| HALEY RUPERT | PA-C | 1922573559 |
| MR. CAMERON BLANK | PA | 1467097188 |
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.