Individual
KAYTLYN MARIE GEVEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W TECH RD, MIAMISBURG, OH 45342-0955
(937) 641-5725
(937) 350-3050
Mailing address
PO BOX 933421, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN.427145
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0036646
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051575
—
OH
Enumeration date
01/22/2024
Last updated
03/09/2026
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