Dodge, Kaisa Lyn

Dodge, Kaisa Lyn is an individual health care provider with primary practice located at 18300 Us Highway 18 , Apple Valley CA 92307-2206. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dodge, Kaisa Lyn can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Us Highway 18 Apple Valley CA 92307-2206
Phone: (760) 242-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 63525 California

Profile Details

NPI number 1992485643
LBN Legal business name Dodge, Kaisa Lyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Feb 5th, 2024 - about 9 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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