Individual provider · Type 1 NPI
Kevin Gordon, PA-C
Surgical Physician Assistant · Lebanon, PA
NPI number
1740383736
Active
Practice location
1700 S Lincoln Ave
Lebanon, PA 17042-7529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA050742 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1740383736
Kevin Gordon, PA-C's National Provider Identifier is 1740383736, issued on Sep 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lebanon, PA. The record was last updated on Jan 8, 2026.