Individual
KAELIE NICOLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 W KING ST STE 101, OWOSSO, MI 48867-2159
(989) 725-8171
Mailing address
818 W KING ST STE 101, OWOSSO, MI 48867-2159
(989) 725-8171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704341664
MI
Other
Enumeration date
12/13/2022
Last updated
08/14/2025
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