Individual
KEEMAH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
(502) 995-6600
Mailing address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
364SL0600X
KY
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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