Individual
KATE PITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12493 UNIVERSITY AVE STE 110, CLIVE, IA 50325-8286
(515) 358-9400
(515) 358-9420
Mailing address
12493 UNIVERSITY AVE STE 110, CLIVE, IA 50325-8286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
078423
IA
363A00000X
Physician Assistant
15-01165
KS
Other
Enumeration date
12/01/2011
Last updated
01/18/2022
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