Individual
CHRISTOPHER KYLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
6151 S YALE AVE, TULSA, OK 74136-1907
(918) 494-8500
(918) 307-5578
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0114434
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP011066
CERTIFIED REGISTERED NURSE PRACTITIONER
PA
Enumeration date
11/12/2010
Last updated
04/22/2024
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