Individual
KAITLYN WILLARD GEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
Mailing address
8051 S EMERSON AVE STE 200, INDIANAPOLIS, IN 46237-8632
(317) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002527A
IN
Other
Enumeration date
08/15/2018
Last updated
03/01/2021
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