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Contact Information

KAITLIN C GUDGER, CPNP-PC
1005 COMMERCIAL LN STE 220
SUFFOLK, VA23434
 Phone: 757-668-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KAITLIN C GUDGER · (Female)

NPI # 1194214924
Status Active
Credentials CPNP-PC
Entity Individual
Enumeration date 05/07/2018
Last updated 05/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 00001231765
  • VA License # 0024176410
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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