Kenny Gourdet
Family Medicine in Gainesville, FL. Individual provider (NPI-1).
NPI number1154909620
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1154909620
- Entity type
- Individual (NPI-1)
- Name
- Kenny Gourdet
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME166269 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1014 Nw 57th StGainesville, FL 32605-4486
Phone 352-376-8211
Mailing address
1147 Nw 64th TerGainesville, FL 32605-4218
Phone 352-333-5152
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All 270 Family Medicine Physician providers in Gainesville · All 16,207 providers in Gainesville
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