Kenya Patrice Salters Gordon in Cleveland - Licensed Practical Nurse

Kenya Patrice Salters Gordon - NPI 1992978134

Kenya Patrice Salters Gordon is a Licensed Practical Nurse in Cleveland, Ohio. Kenya Patrice Salters Gordon practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kenya Patrice Salters Gordon is 1992978134. The last update date is 2008-04-09.

Kenya Patrice Salters Gordon's current location address is 2643 Martin Luther King Jr Dr, Cleveland, Ohio. You can contact this provider via phone number 2163249510. The mailing address for Kenya Patrice Salters Gordon is 2643 Martin Luther King Jr Dr, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenya Patrice Salters Gordon
Address 2643 Martin Luther King Jr Dr, Cleveland, Ohio
Phone Number 2163249510
Fax Number
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1992978134
Provider Enumeration Date 2008-04-09
Last Updated Date 2008-04-09

Provider Mailing Address Detail

Address 2643 Martin Luther King Jr Dr
City Cleveland
State Ohio (OH)
Post Code 441043808
Phone Number 2163249510
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 118615
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2628080 OH --

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FAQs about Kenya Patrice Salters Gordon

What is the unique identifier code issued to Kenya Patrice Salters Gordon by the Centers for Medicare & Medicaid Services?

The Kenya Patrice Salters Gordon has been assigned the NPI (National Provider Identifier) 1992978134. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kenya Patrice Salters Gordon?

The Kenya Patrice Salters Gordon is physically situated at 2643 Martin Luther King Jr Dr, in the city of Cleveland, state of OH, with the postal code 441043808.

What is the Kenya Patrice Salters Gordon's specialty and taxonomy code?

The Kenya Patrice Salters Gordon's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.

On what date did the Kenya Patrice Salters Gordon receive the assignment of its 1992978134 from the Centers for Medicare & Medicaid Services?

The Kenya Patrice Salters Gordon was issued its 1992978134 by the Centers for Medicare & Medicaid Services on 2008-04-09.

When was the information regarding Kenya Patrice Salters Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenya Patrice Salters Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-09.

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