KAELOR KELLY-ANN GORDON DO
NPI 1740030089
Student in an Organized Health Care Education/Training Program in Reading, PA

Active since March 26, 2024PECOS Enrolled
2500 BERNVILLE RD, READING, PA 19605(610) 208-4558 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaelor Kelly-ann Gordon Do NPPES

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

KAELOR KELLY-ANN GORDON DO (NPI 1740030089) is an individual student in an organized health care education/training program in Reading, Pennsylvania and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740030089
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAELOR KELLY-ANN GORDONCredential: DO
Location Address2500 BERNVILLE RDReading, PA 19605-9453
Mailing AddressPo Box 316Reading, PA 19603-0316 · (610) 208-4558
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
NPI 1740030089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 BERNVILLE RD, Reading, PA 19605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaelor Kelly-ann Gordon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2500 BERNVILLE RD
READING, PA 19605
Radiology (Diagnostic Radiology)
2500 BERNVILLE RD
READING, PA 19605
Student in an Organized Health Care Education/Training Program
2500 BERNVILLE RD
READING, PA 19605
Radiology (Diagnostic Radiology)
2500 BERNVILLE RD
READING, PA 19605
Internal Medicine
2500 BERNVILLE RD
READING, PA 19605
Midwife
2500 BERNVILLE RD
READING, PA 19605
Hospitalist
2500 BERNVILLE RD
READING, PA 19605
Nurse Practitioner (Family)
2500 BERNVILLE RD
READING, PA 19605

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 Kaelor Gordon's NPI number?

The NPI number for Kaelor Gordon is 1740030089. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Kaelor Gordon located?

Kaelor Gordon practices at 2500 Bernville Rd, Reading, PA 19605. The listed phone number is (610) 208-4558.

What is Kaelor Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaelor Gordon enrolled in Medicare?

Yes. Kaelor Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaelor Gordon was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.