Individual
DR. KYLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
891 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(509) 270-3687
Mailing address
891 W BAXTER DR, SOUTH JORDAN, UT 84095-8506
(509) 270-3687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11726657-1202
UT
Other
Enumeration date
04/24/2020
Last updated
08/18/2020
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