Individual
KERRY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS
Contact information
Practice address
980 KELLY JOHNSON DR, SUITE 200, LAS VEGAS, NV 89119-3785
(702) 205-1315
Mailing address
6775 EDMOND ST STE 300, LAS VEGAS, NV 89118-3502
(702) 205-1315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0506182
NV
174400000X
Specialist
660
SC
Other
Enumeration date
10/24/2007
Last updated
04/23/2019
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