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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KELLY R GORDON, RN ARNP CRNA

Active Sole Proprietor

MS. KELLY R GORDON, RN ARNP CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in KANSAS CITY, Missouri. NPI 1063495711 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · KANSAS CITY, MO

Registration Details

NPI Number
1063495711
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2005 (20.680117703322 yrs)
Last Updated
May 1, 2025
Licenses
54723 (KS)
1358880051 (KS)
115622 (MO)
115622 (MO)
Sole Proprietor
Yes

Practice Information

Address
1318 E 104TH ST
KANSAS CITY, MO, 641314504
Browse MO providers · Browse ZIP 64131
Phone
8162565200
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Additional Specialty
Registered Nurse
Additional Specialty
Registered Nurse

Other Certified Nurse Anesthetist (CRNA) Providers in KANSAS CITY, MO

Name Credential NPI
MR. JAMES ELI WALTON III CRNA 1144223389
LISA KATHLEEN CAST CRNA 1891793238
NICHOLAS J. PETELIN CRNA 1417946856
GLORIA A. DIMAGGIO 1346225950
KRISTINE A. GOSWICK CRNA 1730164195
MARY J. COUSINS CRNA 1184609430
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.