Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH D GORDON, MD
ActiveKENNETH D GORDON, MD is a Internal Medicine healthcare provider located in LAGRANGE, Georgia. NPI 1871549204 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · LAGRANGE, GA
Registration Details
- NPI Number
- 1871549204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (20.252989580903 yrs)
- Last Updated
- Apr 15, 2024
- License
-
037816 (GA)
Practice Information
- Address
-
1602 VERNON RDSUITE 400LAGRANGE, GA, 302404100Browse GA providers · Browse ZIP 30240
- Phone
- 7068829341
- Fax
- 7068840131
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| AMIR USMAN | MD | 1255333456 |
| ROBERT M STOUT | MD | 1427050632 |
| ARNOLD SMALLS | MD | 1396747598 |
| ANIL R MODI | MD | 1508868704 |
| RICHARD L INGRAM | MD | 1629072699 |
| RAVINA V KADAM | MD | 1134183742 |
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.