Kyle Patrick Gordley in Shenandoah - Plastic And Reconstructive Surgery
Kyle Patrick Gordley - NPI 1437328002
Kyle Patrick Gordley is a Plastic And Reconstructive Surgery in Shenandoah, Texas. Kyle Patrick Gordley practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Kyle Patrick Gordley is 1437328002. The last update date is 2020-08-11.
Kyle Patrick Gordley's current location address is 129 Vision Park Blvd Ste 210, Shenandoah, Texas. You can contact this provider via phone number 8328135839 and fax number 8328138512. The mailing address for Kyle Patrick Gordley is 129 Vision Park Blvd Ste 210, Shenandoah, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Patrick Gordley |
|---|---|
| Address | 129 Vision Park Blvd Ste 210, Shenandoah, Texas |
| Phone Number | 8328135839 |
| Fax Number | 8328138512 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437328002 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 129 Vision Park Blvd Ste 210 |
|---|---|
| City | Shenandoah |
| State | Texas (TX) |
| Post Code | 773843024 |
| Phone Number | 8328135839 |
| Fax Number | 8328138512 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | M7222 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8BD300 | TX | BC/BS | |
| 336662701 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kyle Patrick Gordley by the Centers for Medicare & Medicaid Services?
The Kyle Patrick Gordley has been assigned the NPI (National Provider Identifier) 1437328002 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kyle Patrick Gordley?
The Kyle Patrick Gordley is situated at 129 Vision Park Blvd Ste 210, in the city of Shenandoah, state of TX, with the zip code 773843024.
What is the Kyle Patrick Gordley's area of specialization and corresponding taxonomy classification?
The Kyle Patrick Gordley's specialty field is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their specialties.
On what date did the Kyle Patrick Gordley receive its 1437328002 assignment from the Centers for Medicare & Medicaid Services?
The Kyle Patrick Gordley was assigned its 1437328002 by the Centers for Medicare & Medicaid Services on 2008-02-27.
When was the information regarding Kyle Patrick Gordley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyle Patrick Gordley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-11.
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