Individual
KIM GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
1945 NJ-33, NEPTUNE CITY, NJ 07753
(732) 775-5500
Mailing address
76 RIDGE TER, NEPTUNE CITY, NJ 07753-6614
(732) 642-0022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15879000
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00686800
NJ
Other
Enumeration date
07/18/2016
Last updated
04/11/2023
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