Individual
KACIE NICOLE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 TOWNEPARK CIR STE 100, LOUISVILLE, KY 40243-2317
(502) 412-3232
Mailing address
201 TOWNEPARK CIR STE 100, LOUISVILLE, KY 40243-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
11/27/2023
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