Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENYETTA MICHELLE GORDON, MD
ActiveDR. KENYETTA MICHELLE GORDON, MD is a Family Medicine healthcare provider located in CRESCENT CITY, California. NPI 1013101161 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CRESCENT CITY, CA
Registration Details
- NPI Number
- 1013101161
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2007 (18.771646147231 yrs)
- Last Updated
- May 26, 2023
- Licenses
-
19863 (NV)E-6423 (AR)C186176 (CA)
Practice Information
- Address
-
1675 NORTHCREST DRCRESCENT CITY, CA, 955318928Browse CA providers · Browse ZIP 95531
- Phone
- 7074642750
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CRESCENT CITY, CA
| Name | Credential | NPI |
|---|---|---|
| KEVIN JOHN CALDWELL | M.D. | 1316928104 |
| CLINT TROY PEARSON | MD | 1659464113 |
| WARREN JAMES REHWALDT | MD | 1801989355 |
| DONNA SUND | DO | 1407930076 |
| DR. JAMES A MORROW | D.O. | 1043360480 |
| DR. MICHAEL CLIFTON SAYRE | M.D. | 1306965660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.