Individual
CHRISTOPHER KYLE GORDON
Active
Individual
CHRISTOPHER KYLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
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
Update your record
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