Gordon, Kelly Marie

Gordon, Kelly Marie is an individual health care provider with primary practice located at 13462 Taft St , Brooksville FL 34613-6820. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordon, Kelly Marie can be contacted via phone (352) 600-8822.

Contact Information

Primary practice address
13462 Taft St Brooksville FL 34613-6820
Phone: (352) 600-8822
Fax: (352) 600-8883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11007511 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11007511 Florida

Profile Details

NPI number 1194349019
LBN Legal business name Gordon, Kelly Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2020
Last updated Oct 24th, 2023 - about last year

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.

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