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Individual

KAITIE ANN WORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5950 UNIVERSITY AVE STE 221, WEST DES MOINES, IA 50266-8231
(515) 875-9115
(515) 875-9117
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
092630
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
092630
IOWA STATE LICENSE
IA
Enumeration date
07/10/2018
Last updated
04/04/2024
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