Individual ProviderKaleigh GordonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3535 Dunfries Rd, Pensacola, FL 32503-4236(256) 295-1794PECOS EnrollmentBased on the most recent information from CMS, provider Kaleigh Gordon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1275194300Provider TypeIndividualFull NameGordon, KaleighCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date6/28/2019Last Updated1/19/2022Contact InformationPractice LocationPractice Address3535 Dunfries Rd, Pensacola, FL 32503-4236Phone(256) 295-1794FaxUnlisted FaxMailing LocationMailing Address3535 Dunfries Rd, Pensacola, FL 32503-4236Phone(256) 295-1794FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11002935Florida