Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM GORDON
Active Sole ProprietorKIM GORDON is a Podiatric Surgery healthcare provider located in PORT LUDLOW, Washington. NPI 1578111506 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · PORT LUDLOW, WA
Registration Details
- NPI Number
- 1578111506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2019 (6.7669808860403 yrs)
- Last Updated
- Sep 3, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
81 S KEEL WAYPORT LUDLOW, WA, 983659542Browse WA providers · Browse ZIP 98365
- Phone
- 4258944494
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.