Search › Virginia › 183500000X
Kevin Gordon
NPI 1134776479 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1816 Sydenham Trail
Virginia Beach, VA 23464 - Phone
- (757) 635-0578
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-21
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 Virginia