Individual
KYLIE MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-5632
Mailing address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-5632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
078744
IA
Other
Enumeration date
07/08/2015
Last updated
09/11/2015
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