Individual
KATHERYN PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402
(319) 369-7211
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5074
(319) 369-7247
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-45374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-45374
IOWA MEDICAL LICENSE
IA
Enumeration date
04/23/2015
Last updated
08/01/2018
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