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Dr. Kenyetta Michelle Gordon, MD
Family Medicine Physician in Crescent City, California
NPI 1013101161

Kenyetta Michelle Gordon is a Family Medicine Physician based in Arcata, CA. Kenyetta Michelle Gordon practices in Crescent City, CA and has the professional credentials of MD. The NPI Number for Kenyetta Michelle Gordon is 1013101161 and holds a License No. 19863 (California).

The current practice location address for Kenyetta Michelle Gordon is 1675 Northcrest Dr, Crescent City, CA and can be reached out via phone at 707-464-2750.

Location: 1675 Northcrest Dr, Crescent City, CA, 95521-4734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013101161
Provider Name
Kenyetta Michelle Gordon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1675 Northcrest Dr, Crescent City, CA, 95521-4734
Phone Number
707-464-2750
Fax Number
Provider Enumeration Date
08/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013101161 05 NV
institution
Provider Business Practice Location Address Details
Address
1675 Northcrest Dr
City
Crescent City
State
California
Zip
95531-8928
Phone Number
707-464-2750
Fax Number
person
Provider Business Mailing Address Details
Address
1675 Northcrest Dr
City
Crescent City
State
California
Zip
95531-8928
Phone Number
707-464-2750
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
19863 (Nevada)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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