NPI 1053955153

Tracie Gordon

Practitioner General Practice Physician Winfield, KS

Practice location

Address: 800 Main St, Winfield, KS 67156-2859
Phone: (620) 221-4772
Mailing address: 3 Black Heath CT, Winfield, KS 67156-6301

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1164606919 (KS)

Other General Practice providers in Kansas →

Registry record

NPI: 1053955153
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2019
Record last updated: 31 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.