Individual provider · Type 1 NPI

Kimberly Renee Gordon, PA-C

Physician Assistant · Waxhaw, NC

NPI number 1346562147 Active

Practice location

9929 Rea Rd Ste 201
Waxhaw, NC 28173-6439

Call (704) 316-1650 Map

Fax (704) 316-1651

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 3131 N Mcmullen Booth Rd, Clearwater, FL 33761-2008 · (727) 726-8871
  • 9623 Redstone Dr Ste 300, Indian Land, SC 29707 · (803) 615-0880
  • 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 · (704) 384-1261

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA9105103 (FL)
Physician Assistant Primary 363A00000X0010-07737 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1346562147

Kimberly Renee Gordon, PA-C's National Provider Identifier is 1346562147, issued on Feb 20, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waxhaw, NC. The record was last updated on Mar 30, 2023.