Kimberly R. Gordon, SURGICAL ASSISTANT
Certified Surgical First Assistant · Bloomington, IL
UnclaimedSURGICAL ASSISTANTNPI 1245407709
- Primary taxonomy
- 246ZC0007X
- Enumerated
- 2008-05-14
- Practice location
- Bloomington, IL
- Last NPPES update
- 2008-05-14
State licenses
- IL · Surgical technologist · REGISTERED SURGICAL ASSISTANTExpiredthrough 2014
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.