KAYLA GORDON - NPI 1114518669 - Specialist in Detroit Lakes, MN

Q: What is Kayla Gordon's NPI number?

The NPI number for Kayla Gordon is 1114518669. It was assigned to this individual provider in the NPPES registry on January 28, 2021.

Q: What is Kayla Gordon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Gordon was last updated on January 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kayla Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA GORDON (NPI 1114518669) is an individual specialist in Detroit Lakes, Minnesota and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1114518669

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKAYLA GORDON

Location Address1104 W RIVER RDDetroit Lakes, MN 56501-2723

Mailing Address891 Belsly BlvdMoorhead, MN 56560-5055

Phone(218) 287-4338

Sole ProprietorNo

Enumeration DateJanuary 28, 2021

NPPES CertifiedJanuary 28, 2021

✔ NPI 1114518669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1104 W RIVER RD, Detroit Lakes, MN 56501

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