Individual
KELLY KATHLEEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP)
Contact information
Practice address
75 NW DOGWOOD ST, SUITE B, ISSAQUAH, WA 98027-3210
(800) 230-7526
(425) 369-0725
Mailing address
75 NW DOGWOOD ST, SUITE B, ISSAQUAH, WA 98027-3210
(800) 230-7526
(425) 369-0725
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP60112317
WA
Other
Enumeration date
11/08/2009
Last updated
11/08/2009
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