Gordon, Kerry
Gordon, Kerry is an individual health care provider with primary practice located at 980 Kelly Johnson Dr Suite 200, Las Vegas NV 89119-3785. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gordon, Kerry can be contacted via phone (702) 205-1315.Contact Information
Primary practice address
980 Kelly Johnson Dr Suite 200
Las Vegas NV 89119-3785
Phone: (702) 205-1315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 660 | South Carolina |
| Other Service Providers / Specialist | 174400000X | 0506182 | Nevada |
Profile Details
| NPI number | 1639358831 |
|---|---|
| LBN Legal business name | Gordon, Kerry |
| Credentials | MS, ATC, CSCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Apr 23rd, 2019 - about 6 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.
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