Type 1 individualNPI 1003325051
DR. KELLY ANN GARDNER APNP, AGACNP-BC
363L00000X · JANESVILLE, WI
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 363L00000X | 363L00000X | Primary |
| 363LA2100X | 363LA2100X | Additional |
| 363LA2200X | 363LA2200X | Additional |
| 363LG0600X | 363LG0600X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s