National Provider Identifier Database

KELLY R GARDNER, MD – NPI #1255319463
Vascular & Interventional Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.


Contact Information

KELLY R GARDNER, MD
3061 S MARYLAND PKWY
SUITE 102
LAS VEGAS, NV89109-2298
Phone: 702-731-2888
Fax: 702-696-9289
Website:
Specialty Taxonomy Code
* Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for KELLY R GARDNER

NPI Number 1255319463
Credentials MD
Entity Individual
Enumeration date 01/06/2006
Last updated 12/28/2012 - About 13 years ago
Sole proprietor1 No
Identifiers
  • NV License #: 6324
  • NV Medicaid: 200290213
  • NV Other: NV1309 BLUE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KELLY R GARDNER, MD

There are currently no reviews for KELLY R GARDNER, MD


NPIdb - Home
v2.201