Kelsey Gordon in Minneapolis - Rehabilitation Practitioner

Kelsey Gordon - NPI 1639359912

Kelsey Gordon is a Rehabilitation Practitioner in Minneapolis, Minnesota. Kelsey Gordon practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Kelsey Gordon is 1639359912. The last update date is 2007-11-05.

Kelsey Gordon's current location address is 2450 Riverside Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6126726000. The mailing address for Kelsey Gordon is 2450 Riverside Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelsey Gordon
Address 2450 Riverside Ave, Minneapolis, Minnesota
Phone Number 6126726000
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1639359912
Provider Enumeration Date 2007-11-05
Last Updated Date 2007-11-05

Provider Mailing Address Detail

Address 2450 Riverside Ave
City Minneapolis
State Minnesota (MN)
Post Code 554541450
Phone Number 6126726000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Kelsey Gordon

What is the Kelsey Gordon's unique identification number?

The Kelsey Gordon has been assigned the NPI (National Provider Identifier) Number 1639359912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Kelsey Gordon?

The Kelsey Gordon is situated at 2450 Riverside Ave, in the city of Minneapolis, state of MN, with the zip code 554541450.

What is Kelsey Gordon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelsey Gordon is Rehabilitation Practitioner, and the corresponding taxonomy classification code for this specialized field is 225400000X.

On what date did the Kelsey Gordon receive its 1639359912 assignment from the Centers for Medicare & Medicaid Services?

The Kelsey Gordon was assigned its 1639359912 by the Centers for Medicare & Medicaid Services on 2007-11-05.

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

The information pertaining to Kelsey Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-05.

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