Kevin Gordon in Camp Hill - Physician Assistant
Kevin Gordon - NPI 1740383736
Kevin Gordon is a Physician Assistant in Camp Hill, Pennsylvania. Kevin Gordon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kevin Gordon is 1740383736. The last update date is 2021-08-05.
Kevin Gordon's current location address is 875 Poplar Church Rd, Camp Hill, Pennsylvania. You can contact this provider via phone number 7177637400. The mailing address for Kevin Gordon is 875 Poplar Church Rd, Camp Hill, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Gordon |
|---|---|
| Address | 875 Poplar Church Rd, Camp Hill, Pennsylvania |
| Phone Number | 7177637400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740383736 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2021-08-05 |
Provider Mailing Address Detail
| Address | 875 Poplar Church Rd |
|---|---|
| City | Camp Hill |
| State | Pennsylvania (PA) |
| Post Code | 170112203 |
| Phone Number | 7177637400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA050742 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Kevin Gordon by the Centers for Medicare & Medicaid Services?
The Kevin Gordon has been assigned the NPI (National Provider Identifier) 1740383736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kevin Gordon located?
The Kevin Gordon is located at 875 Poplar Church Rd, Camp Hill, PA 170112203.
What is the Kevin Gordon's area of specialization and corresponding taxonomy classification?
The Kevin Gordon's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Kevin Gordon receive its 1740383736?
The Kevin Gordon was issued its 1740383736 on 2006-09-06, which is the date when the organization was assigned this unique identifier.
As of what date were the Kevin Gordon's details last updated?
The information pertaining to the Kevin Gordon, including its address, specialty, and other details, was most recently updated on 2021-08-05.