KELLY R GORDON

KANSAS CITY, MO
NPI1063495711
Former NameKELLY R HUTTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54723)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KS  1358880051)
163W00000X Registered Nurse
(Licence: MO  115622)
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  115622)
Enumeration Date2005-11-28
Last Update Date2025-05-01
Business Address
Ms. KELLY R GORDON RN ARNP CRNA
1318 E 104TH ST
KANSAS CITY, MO 64131-4504
Phone number: 816-256-5200
Mailing Address
Ms. KELLY R GORDON RN ARNP CRNA
29800 W 127TH ST
OLATHE, KS 66061-8636
Phone number: 913-522-0889