person
Kenneth Mark Gorman JR., MD
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1841985462

Kenneth Mark Gorman JR. is a Student in an Organized Health Care Education/Training Program based in Memphis, TN. Kenneth Mark Gorman JR. practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Kenneth Mark Gorman JR. is 1841985462 and holds a License No. (Tennessee).

The current practice location address for Kenneth Mark Gorman JR. is 1265 Union Ave, Memphis, TN and can be reached out via phone at 901-516-8279.

Location: 1265 Union Ave, Memphis, TN, 38104-3415
person
Provider Profile Details
NPI Number
1841985462
Provider Name
Kenneth Mark Gorman JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1265 Union Ave, Memphis, TN, 38104-3415
Phone Number
901-516-8279
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1265 Union Ave
City
State
Zip
38104-3415
Phone Number
901-516-8279
Fax Number
person
Provider Business Mailing Address Details
Address
1265 Union Ave
City
State
Zip
38104-3415
Phone Number
901-516-8279
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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