KEVIN GORDON
Contractor
Active
Individual
NPI: 1053723643
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1053723643 is the National Provider Identifier for KEVIN GORDON, a Contractor provider located in Tulsa, OK. This NPI was enumerated on May 29, 2014.
KEVIN GORDON practices at 12222 E 30TH ST, Tulsa, OK 74129.
Quick Facts
- NPI
- 1053723643
- Type
- Individual
- Enumerated
- May 29, 2014
- Last Updated
- May 29, 2014
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