Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlyn Christine Proctor, DO

Individual provider Family Medicine Physician · NPI 1801475009

Kaitlyn Christine Proctor, DO is a Family Practice in Newport News, Virginia. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2021, 5 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
VA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12655 Warwick Blvd # A
Newport News, VA 23606-2501
Phone: (757) 595-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 — (757) 594-3800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102207896 (VA)

Record details

NPI number1801475009
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 5, 2021
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2021 (5 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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