Gordon, Samantha Kelly

Gordon, Samantha Kelly is an individual health care provider with primary practice located at Naval Medical Center San Diego 38400 Bob Wilson Drive , San Diego CA 92134-0001. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Gordon, Samantha Kelly can be contacted via phone (760) 809-6315.

Contact Information

Primary practice address
Naval Medical Center San Diego 38400 Bob Wilson Drive San Diego CA 92134-0001
Phone: (760) 809-6315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102208040 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0102208040 Virginia

Profile Details

NPI number 1184379828
LBN Legal business name Gordon, Samantha Kelly
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2022
Last updated Mar 7th, 2024 - about 2 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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