DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY ROBERT GARDNER M.D.

MEDICARE: KELLY ROBERT GARDNER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician6324NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NV1309OTHERNVBLUE

General Provider Information

NPI Number : 1255319463
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ROBERT GARDNER M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 202
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number : 877-406-2916
Fax Number :
Provider Business Practice Location Address
First Line : 3061 S MARYLAND PKWY
Second Line : SUITE 102
City : LAS VEGAS
State : NV
Zip : 89109-2298
Country : US
Telephone Number : 702-731-2888
Fax Number : 702-696-9289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 12/28/2012

Similar Medicare Providers

1053394148 — DR. LARRY F COHLER MD
Practice Location Address:
3061 S MARYLAND PKWY , SUITE 202
LAS VEGAS, NV
89109-2298
Practice Phone: 702-731-0022
Practice Fax: 702-731-0292
1942284583 — M&M ORTHOTIC & PROSTHETIC CENTERS, LLC
Practice Location Address:
3061 S MARYLAND PKWY , SUITE 103
LAS VEGAS, NV
89109-2298
Practice Phone: 702-992-1200
Practice Fax: 702-992-1205
1366420556 — STEVEN HENRY DAVIS M.D.
Practice Location Address:
3061 S MARYLAND PKWY , SUITE 102
LAS VEGAS, NV
89109-2298
Practice Phone: 702-731-2888
Practice Fax: 702-696-9289
1720066921 — LINDSEY CARLTON BLAKE M.D.
Practice Location Address:
3061 S MARYLAND PKWY , SUITE 102
LAS VEGAS, NV
89109-2298
Practice Phone: 702-731-2888
Practice Fax: 702-696-9289
1790763837 — DR. JEFFREY LOREN JOHNSON M.D.
Practice Location Address:
3061 S MARYLAND PKWY , SUITE 102
LAS VEGAS, NV
89109-2298
Practice Phone: 702-731-2888
Practice Fax: 702-696-9289
1770561730 — DR. HARVEY S MILLER M.D.
Practice Location Address:
3061 S MARYLAND PKWY , SUITE 102
LAS VEGAS, NV
89109-2298
Practice Phone: 702-731-2888
Practice Fax: 702-696-9289

Directions to “ KELLY ROBERT GARDNER M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.