Most Relevant Information
Provider Data
| NPI Number: | 1003474925 |
| Provider Name: | KRISTIN N GORDON |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 006829 |
Most Important Dates
| Enumeration Date: | 06/05/2019 |
| Last Updated: | 12/09/2020 |
Provider Practice Location
605 S JEFFERSON ST
PRINCETON
KY
424452173
Practice Location Phone/Fax
| Phone: | 5022534914 |
| Fax: | 5024895751 |
Provider Mailing Location
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE
KY
402235176
Provider Mailing Phone/Fax
| Phone: | 5022534914 |
| Fax: | 5024895751 |