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KERRY GORDON MS, ATC, CSCS
NPI 1639358831
Specialist in Las Vegas, NV

Active since October 24, 2007
980 KELLY JOHNSON DR, SUITE 200, LAS VEGAS, NV 89119(702) 205-1315 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2019, May 19, 2016 (2 updates tracked since 2016).

About Kerry Gordon Ms, Atc, Cscs NPPES

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

KERRY GORDON MS, ATC, CSCS (NPI 1639358831) is an individual specialist in Las Vegas, Nevada, licensed in Nevada (0506182) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1639358831
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKERRY GORDONCredential: MS, ATC, CSCS
Location Address980 KELLY JOHNSON DR, SUITE 200Las Vegas, NV 89119-3785
Mailing Address6775 Edmond St Ste 300Las Vegas, NV 89118-3502 · (702) 205-1315
Phone(702) 205-1315
Sole ProprietorNo
Enumeration DateOctober 24, 2007
Last NPPES UpdateApril 23, 20192 updates tracked since enumeration
✔ NPI 1639358831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NV · 0506182✔ Licensed in SC · 660
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.
980 KELLY JOHNSON DR, Las Vegas, NV 89119
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAY DEE MELLETTE ATC
Specialist/Technologist (Athletic Trainer)
980 KELLY JOHNSON DR
LAS VEGAS, NV 89119
Clark County (702) 352-0200
STEPHANIE HUNTSMAN MED, LAT, ATC
Specialist/Technologist (Athletic Trainer)
980 KELLY JOHNSON DR, SUITE 200
LAS VEGAS, NV 89119
Clark County (702) 352-0026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Gordon's NPI number?

The NPI number for Kerry Gordon is 1639358831. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Kerry Gordon located?

Kerry Gordon practices at 980 Kelly Johnson Dr Suite 200, Las Vegas, NV 89119. The listed phone number is (702) 205-1315.

What is Kerry Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Gordon was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.