Individual
RENATA R GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2677
(816) 404-1000
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2677
(816) 404-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024016763
MO
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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