Individual
MRS. KATHRINE IONE GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CWHNP
Contact information
Practice address
4502 OLD PASS RD, GULFPORT, MS 39501
(228) 863-9977
(228) 863-9912
Mailing address
4502 OLD PASS RD, GULFPORT, MS 39501
(228) 863-9977
(228) 863-9912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R871656
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02304794
—
MS
Enumeration date
03/27/2007
Last updated
07/21/2022
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