Search › Missouri › 367500000X
Kelly Gordon, RN ARNP CRNA
NPI 1063495711 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1318 E 104th St
Kansas City, MO 64131 - Phone
- (816) 256-5200
- Organisation at this address
- Kc Surgicenter, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 3550 S 4th St, Leavenworth, KS
- 8800 Ballentine St, Overland Park, KS
- 706 N Burkarth Rd, Warrensburg, MO
- 901 Heartland Rd Ste 1820, Saint Joseph, MO
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
163W00000X
367500000X - Licence states on file
- KS, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri