Kelly R Gordon is a Nurse Practitioner based in Olathe, MO. Kelly R Gordon practices in Kansas City, MO and has the professional credentials of RNARNPCRNA. The NPI Number for Kelly R Gordon is 1063495711 and holds a License No. 115622 (Missouri).
The current practice location address for Kelly R Gordon is 1318 E. 104Th St., Kansas City, MO and can be reached out via phone at 816-256-5180.
Location: 1318 E. 104Th St., Kansas City, MO, 66061-8636
Provider Profile Details
NPI Number
1063495711
Provider Name
Kelly R Gordon
Credential
RNARNPCRNA
Provider Entity Type
Individual
Gender
Female
Address
1318 E. 104Th St., Kansas City, MO, 66061-8636
Phone Number
816-256-5180
Fax Number
Provider Enumeration Date
11/28/2005
Last Update Date
09/14/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100403160D | 05 | KS | |
| 145353 | 01 | KS | BLUE CROSS BLUE SHIELD KS |
| 66048A019 | 01 | KS | TRICARE WPS |
| 00S23683 | 01 | KS | PREFERRED HEALTH SYSTEMS |
| 915400618 | 05 | MO | |
| P00401683 | 01 | KS | RAILROAD MEDICARE |
| 100016620001 | 01 | COMMUNITY HEALTH PLAN | |
| 28034048 | 01 | MO | BLUE CROSS BLUE SHIELD KC |
| 5718942 | 01 | FIRST HEALTH | |
| P00365458 | 01 | MO | RAILROAD MEDICARE |
Provider Business Practice Location Address Details
Address
1318 E. 104Th St.
City
State
Zip
64131
Phone Number
816-256-5180
Fax Number
Provider Business Mailing Address Details
Address
1318 E. 104Th St.
City
State
Zip
64131
Phone Number
816-256-5180
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
License No.
1358880051 (Kansas)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
54723 (Kansas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
License No.
115622 (Missouri)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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