Kyle Ford Gordon in Jackson - Otolaryngology
Kyle Ford Gordon - NPI 1811076938
Kyle Ford Gordon is a Otolaryngology in Jackson, Mississippi. Kyle Ford Gordon practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kyle Ford Gordon is 1811076938. The last update date is 2019-02-26.
Kyle Ford Gordon's current location address is 970 Lakeland Dr Ste 40, Jackson, Mississippi. You can contact this provider via phone number 6012004850 and fax number 6012004838. The mailing address for Kyle Ford Gordon is 970 Lakeland Dr Ste 40, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Ford Gordon |
|---|---|
| Address | 970 Lakeland Dr Ste 40, Jackson, Mississippi |
| Phone Number | 6012004850 |
| Fax Number | 6012004838 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811076938 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2019-02-26 |
Provider Mailing Address Detail
| Address | 970 Lakeland Dr Ste 40 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164640 |
| Phone Number | 6012004850 |
| Fax Number | 6012004838 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 13240 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4124592 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kyle Ford Gordon by the Centers for Medicare & Medicaid Services?
The Kyle Ford Gordon has been issued the NPI (National Provider Identifier) 1811076938 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kyle Ford Gordon's facilities are geographically located?
The facilities of Kyle Ford Gordon are physically situated at the following location: 970 Lakeland Dr Ste 40, Jackson, MS, 392164640.
What is the Kyle Ford Gordon's area of specialization and corresponding taxonomy classification?
The Kyle Ford Gordon's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Kyle Ford Gordon receive the assignment of its 1811076938 from the Centers for Medicare & Medicaid Services?
The Kyle Ford Gordon was issued its 1811076938 by the Centers for Medicare & Medicaid Services on 2006-11-02.
When was the information pertaining to Kyle Ford Gordon most recently updated or revised?
The details related to Kyle Ford Gordon, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-26.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY