Most Relevant Information
Provider Data
| NPI Number: | 1003269754 |
| Provider Name: | KIM GORDON RN, CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 26NR15879000 |
Most Important Dates
| Enumeration Date: | 07/18/2016 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
1945 NJ-33
NEPTUNE CITY
NJ
07753
Practice Location Phone/Fax
| Phone: | 7327755500 |
| Fax: |
Provider Mailing Location
76 RIDGE TER
NEPTUNE CITY
NJ
077536614
Provider Mailing Phone/Fax
| Phone: | 7326420022 |
| Fax: |