KYLE F GORDON

ST. DOMINIC MEDICAL ASSOCIATES LLC

Dr KYLE F GORDON is a male medical professional, specializing in Otolaryngology. He graduated in 1991 from Tulane University School Of Medicine.

Contact

ST. DOMINIC MEDICAL ASSOCIATES LLC

970 LAKELAND DR
SUITE 40
JACKSON
MS
392164640

Tel: 6012004850

KYLE F GORDON Information

Npi 1811076938
Pac Id 4789739772
Professional Enrollment Id I20090826000785
Last Name GORDON
First Name KYLE
Middle Name F
Suffix
Gender M
Credential
Medical School Name TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty OTOLARYNGOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ST. DOMINIC MEDICAL ASSOCIATES LLC
Group Practice Pac Id 0446303168
Number Of Group Practice Members 123
Line 1 Street Address 970 LAKELAND DR
Line 2 Street Address SUITE 40
Marker Of Address Line 2 Suppression
City JACKSON
State MS
Zip Code 392164640
Phone Number 6012004850
Hospital Affiliation Ccn 1 250048
Hospital Affiliation Lbn 1 ST DOMINIC-JACKSON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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