KENRIC GORDON, LMSW
Social Worker
Active
Individual
NPI: 1114540804
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | Yes | LMSW-39661 (ID) |
Frequently Asked Questions
NPI 1114540804 is the National Provider Identifier for KENRIC GORDON, LMSW, a Social Worker provider located in Chubbuck, ID. This NPI was enumerated on May 28, 2020.
KENRIC GORDON, LMSW practices at 210 W BURNSIDE AVE STE A, Chubbuck, ID 83202.
Quick Facts
- NPI
- 1114540804
- Type
- Individual
- Enumerated
- May 28, 2020
- Last Updated
- May 28, 2020
Nearby Providers
-
NORA KIRKPATRICK, PA
Physician Assistant - Medical
-
LESLIE BURNSIDE, PA-C
Physician Assistant
-
ACCESS HOSPICE CARE LLC
Hospice Care, Community Based
-
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
-
POCATELLO MED PARTNERS LLC
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment