KESHA M. GORDON CPT, BLSI – NPI #1538948880
Technician, Pathology

KESHA GORDON is a pathology technician located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1538948880 to KESHA GORDON on September 26, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KESHA GORDON below.

NPI Profile for
KESHA M. GORDON

NPI Number
1538948880
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KESHA M. GORDON
Credentials
CPT, BLSI
Primary location
1301 MONUMENT RD STE 17
JACKSONVILLE, FL 32225-6462
Phone: (904) 383-6915 Fax:
Mailing address
4553 REVELSTOKE DR
JACKSONVILLE, FL 32207-7430
Phone: (904) 383-6915 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Sep 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
FL 641008180001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.