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Individual

KARA A WIDHALM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5230
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5230

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
112274
IA
363A00000X
Physician Assistant
2681
NE
363AS0400X
Surgical Physician Assistant
2681
NE

Other

Enumeration date
11/04/2021
Last updated
12/15/2023
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