Mrs. Carrie Gordy
Nurse Practitioner - Pediatrics
1135 Red Mile Place
Lexington
, Kentucky 40504
Mrs. Carrie Gordy
Nurse Practitioner - Pediatrics
1135 Red Mile Place
Lexington
, Kentucky 40504
(859) 288-4084
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Carrie Gordy
- 1135 Red Mile Place
- Lexington, KY
- Zip : 40504
- Fax : (859) 288-4084
- Phone : (859) 288-4053
Second Address
- Mrs. Carrie Gordy
- 1135 Red Mile Place
- Lexington, KY
- Zip : 40504
- Fax : (859) 288-4084
- Phone : (859) 288-4053
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2358-P | KY |
National Provider Identifier
| NPI | 1003955477 |
|---|---|
| Provider Name | Mrs. Carrie Gordy |
| First Address | Lexington, KY 40504 |
| Second Address | Lexington, KY 40504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 04/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 78002011 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.