Individual
KAITLYN NICOLE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2769 HEARTLAND DR STE 303, CORALVILLE, IA 52241-2732
(319) 500-8051
Mailing address
2769 HEARTLAND DR STE 303, CORALVILLE, IA 52241-2732
(319) 500-8051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
02/12/2026
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