KEVIN GORDON
NPI 1053723643
Contractor in Tulsa, OK

Active since May 29, 2014
12222 E 30TH ST, TULSA, OK 74129(918) 813-6340 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Contractor

About KEVIN GORDON

This page provides the complete NPI Profile along with additional information for Kevin Gordon, a provider established in Tulsa, Oklahoma with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1053723643 assigned on May 2014. The practitioner's primary taxonomy code is 171W00000X. The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1053723643 Verify this NPI
Provider Name
KEVIN GORDON
Gender
Male
Entity Type
Individual
Location Address
12222 E 30TH ST TULSA, OK 74129
Location Phone
(918) 813-6340
Mailing Address
12222 E 30TH ST TULSA, OK 74129
Is Sole Proprietor?
Yes
Enumeration Date
05-29-2014
Last Update Date
05-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Contractor
12222 E 30TH ST
TULSA, OK 74129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053723643, enumerated as an "individual" on May 29, 2014.

The provider is located at 12222 E 30TH ST TULSA, OK 74129 and the phone number is (918) 813-6340.

Contractor with taxonomy code 171W00000X.