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NPI Code Detail

MEDICARE: KAITLYN MARY ROSE ZINGSHEIM PA-C

MEDICARE:   KAITLYN MARY ROSE ZINGSHEIM  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1396589032
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN MARY ROSE ZINGSHEIM PA-C
Provider Business Mailing Address
First Line : N48W34040 TOWNSHIP ROAD O
Second Line :
City : NASHOTAH
State : WI
Zip : 53058-9624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/09/2026

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Directions to “ KAITLYN MARY ROSE ZINGSHEIM PA-C” Practice Location

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