Search › North Carolina › 363A00000X
Kimberly Gordon, PA-C
NPI 1346562147 · on the registry since 2010
Practice
- Address
- 9929 Rea Rd Ste 201
Waxhaw, NC 28173 - Phone
- (704) 316-1650
- Fax
- (704) 316-1651
- Organisation at this address
- Novant Medical Group, Inc.
Novant Health Medical Group, Llc
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 3131 N Mcmullen Booth Rd, Clearwater, FL
- 9623 Redstone Dr Ste 300, Indian Land, SC
- 1401 Matthews Township Pkwy Ste 320, Matthews, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- FL, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina