MRS. Kimberly Rochelle Gordon, SURGICAL ASSISTANT
NPI #1245407709 in Bloomington, Illinois
Provider Information
- NPI Number
- 1245407709
- Entity Type
- Individual
- Name
- MRS. Kimberly Rochelle Gordon, SURGICAL ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Credential
- SURGICAL ASSISTANT
- Enumeration Date
- May 14, 2008
- Last Updated
- May 14, 2008
Practice Location
- Address
- 3002 GILL ST STE 3
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3438
- Phone
- (309) 846-4716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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