KELLY MARIE GORDON APRN NPI 1194349019

NPI Information

Kelly Marie Gordon, APRN is a family nurse practitioner in Brooksville, FL with 7 years of experience. Kelly Marie Gordon, APRN NPI is 1194349019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13462 TAFT ST
BROOKSVILLE, FL
ZIP 34613-820
Phone: (352) 600-8822
Fax: (352) 600-8883

The NPI 1194349019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2020 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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