NPI 1174249981

Katlyn Gorgus

Practitioner Independent Duty Medical Technicians Maxwell Afb, AL

Practice location

Address: 42d Medical Group 300 S. Twining St., Bldg 760, Maxwell Afb, AL 36112-6027
Phone: (580) 481-7082
Mailing address: 1425 2nd St NE, Arab, AL 35016-5411

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1174249981
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2022
Record last updated: 11 Dec 2024

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.