Individual
KAITLYN CHRISTINE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12655 WARWICK BLVD # A, NEWPORT NEWS, VA 23606-2501
(757) 595-9880
Mailing address
12655 WARWICK BLVD # A, NEWPORT NEWS, VA 23606-2501
(757) 964-8739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102207896
VA
Other
Enumeration date
04/05/2021
Last updated
03/27/2025
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