person
Michael D Gordon, APRN
Adult Health Clinical Nurse Specialist in Benton, Kentucky
NPI 1225562622

Michael D Gordon is an Adult Health Clinical Nurse Specialist based in Benton, KY and is specialized in Adult Health. Michael D Gordon practices in Benton, KY and has the professional credentials of APRN. The NPI Number for Michael D Gordon is 1225562622 and holds a License No. 3011246 (Kentucky).

The current practice location address for Michael D Gordon is 373 Breezeel School Rd, Benton, KY and can be reached out via phone at 307-247-3661.

Location: 373 Breezeel School Rd, Benton, KY, 42025-5376
person
Provider Profile Details
NPI Number
1225562622
Provider Name
Michael D Gordon
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
373 Breezeel School Rd, Benton, KY, 42025-5376
Phone Number
307-247-3661
Fax Number
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100515830 05 KY
institution
Provider Business Practice Location Address Details
Address
373 Breezeel School Rd
City
State
Zip
42025-5376
Phone Number
307-247-3661
Fax Number
person
Provider Business Mailing Address Details
Address
373 Breezeel School Rd
City
State
Zip
42025-5376
Phone Number
307-247-3661
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
3011246 (Kentucky)
Definition
Definition to come...
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