IndividualActive
Katlyn Gorgus
NPI 1174249981 · Independent Duty Medical Technicians · Maxwell Afb, AL
Provider details
- NPI number
- 1174249981
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
42d Medical Group
300 S. Twining St., Bldg 760
Maxwell Afb, AL 36112-6027
Phone: (580) 481-7082
Approximate (ZIP-level) locationGet directions
Mailing address
1425 2nd St Ne
Arab, AL 35016-5411
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2024-12-11
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.