Gordy, Kristen Lynn

Gordy, Kristen Lynn is an individual health care provider with primary practice located at 1104 Healthway Dr , Salisbury MD 21804-4469. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gordy, Kristen Lynn can be contacted via phone (410) 219-5483.

Contact Information

Primary practice address
1104 Healthway Dr Salisbury MD 21804-4469
Phone: (410) 219-5483
Fax: (410) 219-5486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R182529 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R182529 Maryland

Profile Details

NPI number 1811332307
LBN Legal business name Gordy, Kristen Lynn
Credentials CRNP-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2013
Last updated Feb 23rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811332307 NPPES
Maryland MEDICAID 119591300

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