Individual
KAITLYN E CREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 LAUREL ST STE A250, DES MOINES, IA 50314-3029
(515) 235-5000
(515) 288-6713
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
092828
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092828
IOWA BOARD OF PHYSICIAN ASSISTANTS
IA
Enumeration date
07/11/2018
Last updated
06/15/2020
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