Gordon, Kimberly L
Gordon, Kimberly L is an individual health care provider with primary practice located at 604 Epsilon Dr , Pittsburgh PA 15238-2808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gordon, Kimberly L can be contacted via phone (412) 967-9090.Contact Information
Primary practice address
604 Epsilon Dr
Pittsburgh PA 15238-2808
Phone: (412) 967-9090
Fax: (412) 967-0186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD023999E | Pennsylvania |
Profile Details
| NPI number | 1619970894 |
|---|---|
| LBN Legal business name | Gordon, Kimberly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 5th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619970894 | NPPES |
| Pennsylvania | MEDICAID | 0014228640001 |
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