Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATLYN GORGUS
ActiveKATLYN GORGUS is a Independent Duty Medical Technician healthcare provider located in MAXWELL AFB, Alabama. NPI 1174249981 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · MAXWELL AFB, AL
Registration Details
- NPI Number
- 1174249981
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2022 (3.7999100340651 yrs)
- Last Updated
- Dec 11, 2024
Practice Information
- Address
-
42D MEDICAL GROUP300 S. TWINING ST., BLDG 760MAXWELL AFB, AL, 361126027Browse AL providers · Browse ZIP 36112
- Phone
- 5804817082
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in MAXWELL AFB, AL
| Name | Credential | NPI |
|---|---|---|
| MARK K THOMAS | IDMT | 1396988705 |
| CARLA D ZUNIGA-CLARK | — | 1326346776 |
| ROLANDO SMYTHE | IDMT | 1780956177 |
| WILLIAM MURPHY WHITTLE | — | 1144797556 |
| KYLE LUIS MUNOZ VALDES | IDMT | 1093358939 |
| HANNAH CLENDENING | — | 1962147207 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.