Individual
KAYLA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 HARRISON AVE, BUTTE, MT 59701-4801
(406) 792-3001
Mailing address
1081 FORESTGLEN DR, BOZEMAN, MT 59718-6667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-146532
MT
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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