IndividualActive
Kevin Gordon
NPI 1053723643 · Contractor · Tulsa, OK
Kevin Gordon is a Contractor provider in Tulsa, OK (NPI 1053723643).
Provider details
- NPI number
- 1053723643
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12222 E 30th St
Tulsa, OK 74129-8423
Phone: (918) 813-6340
Street-level locationGet directions
Mailing address
12222 E 30th St
Tulsa, OK 74129-8423
Registry dates
- Enumerated
- 2014-05-29
- Last updated
- 2014-05-29
Frequently asked questions
- What is Kevin Gordon's NPI number?
- Kevin Gordon's National Provider Identifier (NPI) is 1053723643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Gordon's specialty?
- Kevin Gordon is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Kevin Gordon located?
- Kevin Gordon's practice location on file with NPPES is 12222 E 30th St, Tulsa, OK 74129-8423.
- What is Kevin Gordon's phone number?
- The practice phone number listed in the NPPES registry for Kevin Gordon is (918) 813-6340.
- Is Kevin Gordon's NPI active?
- Yes — Kevin Gordon's NPI (1053723643) is active in the NPPES registry as of the last update on 2014-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.