Individual
KAITLIN DAMMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2103 INGERSOLL AVE, DES MOINES, IA 50312-5227
(515) 279-6242
Mailing address
9224 KINGMAN DR, WEST DES MOINES, IA 50266-1511
(515) 480-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
088163
IA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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