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Kimberly Renee Gordon, PA-C
Physician Assistant in Waxhaw, North Carolina
NPI 1346562147

Kimberly Renee Gordon is a Physician Assistant based in Charlotte, NC. Kimberly Renee Gordon practices in Waxhaw, NC and has the professional credentials of PA-C. The NPI Number for Kimberly Renee Gordon is 1346562147 and holds a License No. PA9105103 (North Carolina).

The current practice location address for Kimberly Renee Gordon is 9929 Rea Rd Ste 201, Waxhaw, NC and can be reached out via phone at 704-316-1650 and via fax at 704-316-1651.

Location: 9929 Rea Rd Ste 201, Waxhaw, NC, 28260-0447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346562147
Provider Name
Kimberly Renee Gordon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9929 Rea Rd Ste 201, Waxhaw, NC, 28260-0447
Phone Number
704-316-1650
Fax Number
704-316-1651
Provider Enumeration Date
02/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018579700 05 FL
Y0S1D 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
9929 Rea Rd Ste 201
City
Waxhaw
State
North Carolina
Zip
28173-6439
Phone Number
704-316-1650
Fax Number
704-316-1651
person
Provider Business Mailing Address Details
Address
9929 Rea Rd Ste 201
City
Waxhaw
State
North Carolina
Zip
28173-6439
Phone Number
704-316-1650
Fax Number
704-316-1651
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0010-07737 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9105103 (Florida)
Definition
Definition to come...
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