Individual
KAITLYN MARIEL OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1755 HIGHWAY 34 E, NEWNAN, GA 30265-5631
(770) 252-7510
Mailing address
PO BOX 73709, NEWNAN, GA 30271-3709
(770) 251-2060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN239487
GA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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