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

KELLROY GORDON

Active Sole Proprietor

KELLROY GORDON is a Adult Companion healthcare provider located in PALM BAY, Florida. NPI 1184180093 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · PALM BAY, FL

Registration Details

NPI Number
1184180093
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2019 (7.5205473966214 yrs)
Last Updated
Feb 15, 2019
Sole Proprietor
Yes

Practice Information

Address
530 MALABAR RD SW APT 202
PALM BAY, FL, 329072992
Browse FL providers · Browse ZIP 32907
Phone
3216145082
Primary Specialty
Adult Companion
372600000X
Additional Specialty
Behavioral Health Technician
Additional Specialty
Foot & Ankle Surgery
Additional Specialty
Homemaker
Additional Specialty
Nurse's Aide

Other Adult Companion Providers in PALM BAY, FL

Name Credential NPI
FAITH HENRY 1144778515
MS. ANNA PATRICE MILLER 1366976540
APRIL LASHAUN GOODMAN 1437829959
NADINE PRICE 1588442230
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.