Healthcare Provider Details

I. General information

NPI: 1285442889
Provider Name (Legal Business Name): RAYNA LAUREN KAEPPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2024
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-384-5643
  • Fax: 319-356-3900
Mailing address:
  • Phone: 319-384-5643
  • Fax: 319-356-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberR-13950
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: