Gordon, Kathleen G
Gordon, Kathleen G is an individual health care provider with primary practice located at Unc Ch Department Of Ophthalmology 130Mason Farm Rd, 5151 Bioinformatics, Chapel Hill NC 27599-7040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gordon, Kathleen G can be contacted via phone (919) 966-5296.Contact Information
Primary practice address
Unc Ch Department Of Ophthalmology 130Mason Farm Rd, 5151 Bioinformatics
Chapel Hill NC 27599-7040
Phone: (919) 966-5296
Fax: (919) 966-1908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 200301119 | North Carolina |
Profile Details
| NPI number | 1093716896 |
|---|---|
| LBN Legal business name | Gordon, Kathleen G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Dec 9th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093716896 | NPPES |
| North Carolina | Other | 5177534 | AETNA |
| North Carolina | Other | 805415 | AETNA |
| North Carolina | Other | 31770 | AETNA |
| North Carolina | Other | 1366A | AETNA |
| North Carolina | Other | 2129642 | AETNA |
| North Carolina | Other | D5541 | AETNA |
| North Carolina | Other | 0800622 | AETNA |
| North Carolina | MEDICAID | 891366A | AETNA |
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