Individual
MR. KEVIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 262-6621
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 262-6621
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA050742
PA
Other
Enumeration date
09/06/2006
Last updated
01/08/2026
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