Kelley Gordon, LPN
Licensed Practical Nurse in Everett, Massachusetts
1174800643- Practice location
- 321 Ferry St, # 6, Everett, MA 02149-5608
- Phone
- 617-785-4812
- Fax
- —
- Last updated
- November 10, 2011
Kelley Gordon is a Licensed Practical Nurse based in Everett, MA. Kelley Gordon practices in Everett, MA and has the professional credentials of LPN. The NPI Number for Kelley Gordon is 1174800643 and holds a License No. LN69985 (MA). The current practice location address for Kelley Gordon is 321 Ferry St, # 6, Everett, MA 02149-5608 and can be reached out via phone at 617-785-4812.
Provider Profile Details
- NPI Number
- 1174800643
- Provider Name
- Kelley Gordon
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 321 Ferry St, # 6, Everett, MA 02149-5608
- Phone Number
- 617-785-4812
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 10, 2011
- Last Update Date
- November 10, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Ferry St
# 6
Everett, MA 02149-5608 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-5608
- Phone Number
- 617-785-4812
Provider Business Mailing Address Details
- Address
- 321 Ferry St
# 6
Everett, MA 02149-5608 - City
- Everett
- State
- MA
- Zip
- 02149-5608
- Phone Number
- 617-785-4812
License Information
- License Number
- LN69985
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelley Gordon, LPN?
The NPI number of Kelley Gordon, LPN is 1174800643. It was assigned on November 10, 2011 and is currently active in the NPPES registry.
What is the specialty of Kelley Gordon, LPN?
Kelley Gordon, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN69985.
Where does Kelley Gordon, LPN practice?
The practice location is 321 Ferry St, # 6, Everett, MA 02149-5608. The office can be reached at 617-785-4812 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174800643 directly on the NPPES registry website.