Gdovic, Kelly Maureen

Gdovic, Kelly Maureen is an individual health care provider with primary practice located at 11842 Rock Landing Dr Ste 115 , Newport News VA 23606-4437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gdovic, Kelly Maureen can be contacted via phone (757) 595-9905.

Contact Information

Primary practice address
11842 Rock Landing Dr Ste 115 Newport News VA 23606-4437
Phone: (757) 595-9905
Fax: (757) 595-5377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024116360 Virginia

Profile Details

NPI number 1538364583
LBN Legal business name Gdovic, Kelly Maureen
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated May 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538364583 NPPES
Virginia Other 0024116360 LICENSE

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