Ms. Kelly R Gordon

RN ARNP CRNA | Nurse Practitioner | 24+ years Exp

1318 E. 104th St., Kansas City
  Missouri, 64131
816-256-5180
Accepts Medicare Nurse Anesthetist in Kansas City, Missouri.
Ms. Kelly R Gordon is a Kansas City, Missouri based nurse practitioner with 24 years of experience in . She completed her graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Kelly R Gordon is 54723 in Kansas. Her current practice location is 1318 E. 104th St., Kansas City. Patients can reach her at 816-256-5180. Ms. Kelly R Gordon is RN ARNP CRNA and her NPI number (Unique professional ID assigned by NPPES) is 1063495711.
Ms. Kelly R Gordon has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Kelly R Gordon speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Kelly R Gordon
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: RN ARNP CRNA
Experience: 24+ years
Medical School Attended:Other
Graduation Year:2000
Accepts Medicare Assignment:Yes
Practice Address:1318 E. 104th St., Kansas City,
Missouri, 64131
Phone:816-256-5180
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6305748989
Enrollment ID: I20040123000572
NPI Number: 1063495711
NPI Enumeration Date: 28 Nov, 2005
NPI Last Update On: 13 Aug, 2024

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kelly R Gordon are as mentioned below.
License NumberSpecializationStateStatus
54723 KansasPrimary
115622Nurse Anesthetist, Certified Registered MissouriSecondary
1358880051Registered Nurse KansasSecondary
115622Registered Nurse MissouriSecondary
54723Nurse Practitioner KansasSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(260097)Warrensburg, MOAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Ms. Kelly R Gordon is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Dynamos Anesthesia Services Llc (1052748589)7
Kansas University Physicians Inc (8921911587)1265
Dynamos Anesthesia Services Llc (1052748589)7
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kelly R Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100403160DMedicaidKansas
145353OtherKansasBLUE CROSS BLUE SHIELD KS
66048A019OtherKansasTRICARE WPS
00S23683OtherKansasPREFERRED HEALTH SYSTEMS
915400618MedicaidMissouri
P00401683OtherKansasRAILROAD MEDICARE
100016620001OtherCOMMUNITY HEALTH PLAN
28034048OtherMissouriBLUE CROSS BLUE SHIELD KC
5718942OtherFIRST HEALTH
P00365458OtherMissouriRAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Kelly R Gordon
29800 W 127th St,
Olathe, Kansas
Zip: 66061-8636
Phone Number: 913-522-0889
Patients can reach Ms. Kelly R Gordon at 1318 E. 104th St., Kansas City, Missouri or can call to book an appointment on 816-256-5180.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.