Individual
KOURTNEY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD/LD,CEDRD
Contact information
Practice address
3314 HENDERSON BLVD STE 206, TAMPA, FL 33609-2934
(813) 906-7707
(813) 502-0266
Mailing address
3314 HENDERSON BLVD STE 206, TAMPA, FL 33609-2934
(813) 906-7707
(813) 502-0266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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