Individual
KAITLYN K WHEELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 5TH ST STE 210, CORALVILLE, IA 52241-2934
(319) 594-5953
Mailing address
1100 5TH ST STE 210, CORALVILLE, IA 52241-2934
(319) 594-5953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H165786
IA
Other
Enumeration date
09/23/2021
Last updated
10/08/2021
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