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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLYN GORDON

Active Sole Proprietor

KAITLYN GORDON is a Pediatric Nurse healthcare provider located in LAFAYETTE, Indiana. NPI 1740153659 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse · LAFAYETTE, IN

Registration Details

NPI Number
1740153659
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2025 (0.89253626407239 yrs)
Last Updated
Sep 26, 2025
License
28262006C (IN)
Sole Proprietor
Yes

Practice Information

Address
4309 ADMIRALS COVE DR
LAFAYETTE, IN, 479098593
Browse IN providers · Browse ZIP 47909
Phone
7654133898
Primary Specialty
Pediatric Nurse
163WP0200X
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.