Individual
KELLY J GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2687
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 275 CAMBRIDGE ST, 5TH FLOOR, BOSTON, MA 02114
(617) 726-8707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
269950
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
269950
MA
2080S0012X
Pediatric Sleep Medicine Physician
269950
MA
208M00000X
Hospitalist Physician
269950
MA
Other
Enumeration date
06/05/2014
Last updated
06/22/2023
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