Individual
CATHERINE A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9209 W. 110TH STREET, BUILDING #36, OVERLAND PARK, KS 66210
(913) 735-4888
(913) 825-6953
Mailing address
4920 BRADSHAW, SHAWNEE, KS 66216
(913) 735-4888
(913) 825-6953
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
44791
KS
363LF0000X
Family Nurse Practitioner
44791
KS
367A00000X
Advanced Practice Midwife
Primary
64072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100447440G
HEALTHWAVE
KS
Enumeration date
03/24/2006
Last updated
05/17/2011
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