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NPI Code Detail

MEDICARE: KAITLIN CHRISTINE NELSON PA-C

MEDICARE: KAITLIN CHRISTINE NELSON 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 Assistant133152IA
2363AS0400XSurgical Physician Assistant085-005117IL
3363AS0400XSurgical Physician Assistant2571MN
4363AS0400XSurgical Physician Assistant133152IA

General Provider Information

NPI Number : 1760881056
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN CHRISTINE NELSON PA-C
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 W FOREVERGREEN RD
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-9848
Country : US
Telephone Number : 319-356-2223
Fax Number : 319-353-6745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2014
Last Update Date : 08/21/2025

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Directions to “ KAITLIN CHRISTINE NELSON PA-C” Practice Location

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