Individual
KRISTIN R. WITZENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1410 SW TRADITION DR STE 110, ANKENY, IA 50023-9188
(515) 875-9696
(515) 875-9697
Mailing address
1320 RANDALL PL, DES MOINES, IA 50311-2716
(515) 250-3339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
073924
IA
Other
Enumeration date
02/07/2014
Last updated
08/12/2021
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