Desoe, Kaitlin Nicole

Desoe, Kaitlin Nicole is an individual health care provider with primary practice located at 3135 W Broadway , Council Bluffs IA 51501-3359. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Desoe, Kaitlin Nicole can be contacted via phone (712) 328-8100.

Contact Information

Primary practice address
3135 W Broadway Council Bluffs IA 51501-3359
Phone: (712) 328-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 69598 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 112977 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A1566505 Iowa

Profile Details

NPI number 1689223943
LBN Legal business name Desoe, Kaitlin Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Oct 1st, 2019 - about 5 years 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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