Atwater, Kaitlin M

Atwater, Kaitlin M is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Atwater, Kaitlin M can be contacted via phone (605) 720-7449.

Contact Information

Primary practice address
113 Comanche Rd Fort Meade SD 57741-1002
Phone: (605) 720-7449
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0772 South Dakota

Profile Details

NPI number 1013215672
LBN Legal business name Atwater, Kaitlin M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2011
Last updated Apr 17th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013215672 NPPES
South Dakota MEDICAID 6832630

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