Gaddy, Kathrine Ione

Gaddy, Kathrine Ione is an individual health care provider with primary practice located at 4502 Old Pass Rd , Gulfport MS 39501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gaddy, Kathrine Ione can be contacted via phone (228) 863-9977.

Contact Information

Primary practice address
4502 Old Pass Rd Gulfport MS 39501
Phone: (228) 863-9977
Fax: (228) 863-9912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R871656 Mississippi

Profile Details

NPI number 1538287479
LBN Legal business name Gaddy, Kathrine Ione
Credentials CWHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538287479 NPPES
Mississippi MEDICAID 02304794

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