Healthcare Provider Details

I. General information

NPI: 1982374963
Provider Name (Legal Business Name): KAITLYN NICOLE YEATES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 MUSCATINE AVE # 100
IOWA CITY IA
52240-6637
US

IV. Provider business mailing address

354 TANGLEWOOD DR
SOLON IA
52333-7000
US

V. Phone/Fax

Practice location:
  • Phone: 319-337-3526
  • Fax: 319-337-5271
Mailing address:
  • Phone: 319-540-9038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24268
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: