Individual
KIMBERLY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 HOSIER ST, SELBYVILLE, DE 19975
(302) 732-3800
Mailing address
31 HOSIER ST, SELBYVILLE, DE 19975-9300
(302) 732-3800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0040638
DE
163WS0200X
School Registered Nurse
Primary
L1-0040638
DE
Other
Enumeration date
02/13/2015
Last updated
08/24/2018
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