Individual
ALLIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 899-7646
(502) 899-7648
Mailing address
PO BOX 6749, LOUISVILLE, KY 40206-0749
(502) 899-7646
(502) 895-8977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012029
KY
363LF0000X
Family Nurse Practitioner
3012029
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3012029
KY
Other
Enumeration date
03/02/2018
Last updated
02/03/2026
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