Gordon, Kimberly Rochelle
Gordon, Kimberly Rochelle is an sole proprietor health care provider with primary practice located at 3002 Gill St Ste 3 , Bloomington IL 61704-3438. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Gordon, Kimberly Rochelle can be contacted via phone (309) 846-4716.Contact Information
Primary practice address
3002 Gill St Ste 3
Bloomington IL 61704-3438
Phone: (309) 846-4716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X |
Profile Details
| NPI number | 1245407709 |
|---|---|
| LBN Legal business name | Gordon, Kimberly Rochelle |
| Credentials | SURGICAL ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2008 |
| Last updated | May 14th, 2008 - about 16 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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