Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenny Gourdet

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154909620

Kenny Gourdet is a Family Practice in Gainesville, Florida. Qualified in 2021, 5 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1014 NW 57th St
Gainesville, FL 32605-4486
Phone: (352) 376-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME166269 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154909620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address1147 Nw 64th Ter, Gainesville, FL 32605-4218

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gainesville