Kacie Nicole Gordon, PA-C

NPI #1023582004 in Louisville, Kentucky

Provider Information

NPI Number: 1023582004
Entity Type: Individual
Name: Kacie Nicole Gordon, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 14, 2019
Last Updated: Nov 27, 2023

Practice Location

Address: 201 TOWNEPARK CIR STE 100
City: Louisville
State: Kentucky
ZIP Code: 40243-2317
Phone: (502) 412-3232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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