Individual
KYLIE LOUISE BUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2055 KIMBALL AVE STE 400, WATERLOO, IA 50702-5047
(319) 272-0000
(319) 272-1329
Mailing address
2055 KIMBALL AVE STE 400, WATERLOO, IA 50702-5047
(319) 272-0000
(319) 272-1329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
115713
IA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/03/2021
Last updated
07/27/2022
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