Gordon, Kristina L

Gordon, Kristina L is an sole proprietor health care provider with primary practice located at 2119 Elmo Ave , Hamilton OH 45015-1110. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gordon, Kristina L can be contacted via phone (513) 868-7677.

Contact Information

Primary practice address
2119 Elmo Ave Hamilton OH 45015-1110
Phone: (513) 868-7677
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN103492 Ohio

Profile Details

NPI number 1194804559
LBN Legal business name Gordon, Kristina L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194804559 NPPES
Ohio MEDICAID 2689998

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