Kenneth D Gordon in Lagrange - Internal Medicine
Kenneth D Gordon - NPI 1871549204
Kenneth D Gordon is a Internal Medicine in Lagrange, Georgia. Kenneth D Gordon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth D Gordon is 1871549204. The last update date is 2011-05-03.
Kenneth D Gordon's current location address is 1602 Vernon Rd, Lagrange, Georgia. You can contact this provider via phone number 7068829341 and fax number 7068840131. The mailing address for Kenneth D Gordon is 1602 Vernon Rd, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth D Gordon |
|---|---|
| Address | 1602 Vernon Rd, Lagrange, Georgia |
| Phone Number | 7068829341 |
| Fax Number | 7068840131 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871549204 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2011-05-03 |
Provider Mailing Address Detail
| Address | 1602 Vernon Rd |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302404100 |
| Phone Number | 7068829341 |
| Fax Number | 7068840131 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 37816 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100064937A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth D Gordon by the Centers for Medicare & Medicaid Services?
The Kenneth D Gordon has been assigned the NPI (National Provider Identifier) 1871549204 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth D Gordon's facilities are geographically located?
The facilities of Kenneth D Gordon are physically situated at the following location: 1602 Vernon Rd, Lagrange, GA, 302404100.
What is the Kenneth D Gordon's specialty and taxonomy code?
The Kenneth D Gordon's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did Kenneth D Gordon receive its 1871549204 assignment?
The Kenneth D Gordon was assigned its 1871549204 on 2006-05-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kenneth D Gordon last refreshed?
The information related to the Kenneth D Gordon, including its address, specialty, and other relevant details, was last updated on 2011-05-03.
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