Individual
KEVIN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE., CLEVELAND, OH 44106
(216) 444-4057
Mailing address
11500 SOMERSET DR APT 121, NORTH ROYALTON, OH 44133-2670
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
325850
OH
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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