Kenneth D Gordon MD

  • NPI 1871549204
According to our database, the NPI number for Kenneth D Gordon MD is 1871549204 and activated since 17 years ago. Kenneth D Gordon MD is an individual provider who specializes in Internal Medicine, and the primary practice location is 1602 Vernon Rd, Lagrange, GA 30240. You can also contact Kenneth D Gordon MD via telephone number is (706) 882-9341. Provider NPI information was last updated on 05/03/2011.

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Overview of Kenneth D Gordon MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/26/2006
  • Last updated: 05/03/2011

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 037816
  • License State: GA

Provider Mailing Address

  • Address: 1602 Vernon Rd
    Suite 400
    Lagrange, GA 30240
  • Phone: 706-882-9341
  • Fax: 706-884-0131

Provider Practice Location

  • Address: 1602 Vernon Rd
    Suite 400
    Lagrange, GA 30240
  • Phone: 706-882-9341
  • Fax: 706-884-0131

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: 037816
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100064937A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth D Gordon MD?
  • A: The npi number for Kenneth D Gordon MD is 1871549204.
  • Q: What are Kenneth D Gordon MD's specialties?
  • A: Kenneth D Gordon MD's specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Kenneth D Gordon MD?
  • A: The medical license number for Kenneth D Gordon MD is 037816 and issued in GA in USA.
  • Q: Where is Kenneth D Gordon MD practice location?
  • A: Kenneth D Gordon MD is practicing at 1602 Vernon Rd, Lagrange, GA 30240.
  • Q: How to contact Kenneth D Gordon MD?
  • A: You can contact Kenneth D Gordon MD via 706-882-9341.