Kevin Gordon

NPI #1053723643 in Tulsa, Oklahoma

Provider Information

NPI Number: 1053723643
Entity Type: Individual
Name: Kevin Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 29, 2014
Last Updated: May 29, 2014

Practice Location

Address: 12222 E 30TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74129-8423
Phone: (918) 813-6340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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