Individual
AMANDA KAY ABOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1221 S GEAR AVE STE 304, WEST BURLINGTON, IA 52655-1681
(319) 768-1000
Mailing address
1235 280TH AVE, WEST POINT, IA 52656-9240
(515) 710-4172
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
107005
IA
363AM0700X
Medical Physician Assistant
Primary
107005
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2019
Last updated
10/30/2024
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