Organization
GORDON & SALTER CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL GORDON MD (PRESIDENT)
(859) 624-2010
Entity
Organization
Contact information
Practice address
311A RADIO PARK DR, RICHMOND, KY 40223
(859) 624-2010
(859) 625-1229
Mailing address
311 RADIO PARK DR STE A, RICHMOND, KY 40475-2399
(859) 624-2010
(859) 625-1229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
KY
176B00000X
Midwife
—
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
—
KY
207VG0400X
Gynecology Physician
—
KY
207VX0000X
Obstetrics Physician
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78903127
—
KY
Enumeration date
08/29/2006
Last updated
09/30/2014
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