Individual provider · Type 1 NPI

Kevin Ray Gordon, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1124791678 Active

Practice location

8075 N Shadeland Ave Ste 330
Indianapolis, IN 46250-2694

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 550 University Blvd, Indianapolis, IN 46202-5149 · (317) 944-5000
  • 1701 N Senate Ave, Indianapolis, IN 46202-5306 · (317) 962-2000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X71011370A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71011370A (IN)

Gerontology Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1124791678

Kevin Ray Gordon, NP's National Provider Identifier is 1124791678, issued on Jul 30, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 12, 2025.