person
Mrs. Kimberly Elizabeth Etherington, PA
Medical Physician Assistant in Clear Lake, Iowa
NPI 1265511489

Kimberly Elizabeth Etherington is a Medical Physician Assistant based in Clear Lake, IA and is specialized in Medical. Kimberly Elizabeth Etherington practices in Clear Lake, IA and has the professional credentials of PA. The NPI Number for Kimberly Elizabeth Etherington is 1265511489 and holds a License No. 001109 (Iowa).

The current practice location address for Kimberly Elizabeth Etherington is 1410 6Th Ave S, Clear Lake, IA and can be reached out via phone at 641-357-2191 and via fax at 641-357-6020. You can also correspond with Kimberly Elizabeth Etherington through the mailing address at 1410 6TH AVE S, CLEAR LAKE, IA - 50428-2606 (mailing address contact number: 641-357-2191).

Location: 1410 6Th Ave S, Clear Lake, IA, 50428-2606
person
Provider Profile Details
NPI Number
1265511489
Provider Name
Kimberly Elizabeth Etherington
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1410 6Th Ave S, Clear Lake, IA, 50428-2606
Phone Number
641-357-2191
Fax Number
641-357-6020
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45658 01 IA WELLMARK
36657 01 IA WELLMARK
institution
Provider Business Practice Location Address Details
Address
1410 6Th Ave S
City
State
Zip
50428-2606
Phone Number
641-357-2191
Fax Number
641-357-6020
person
Provider Business Mailing Address Details
Address
1410 6Th Ave S
City
State
Zip
50428-2606
Phone Number
641-357-2191
Fax Number
641-357-6020
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001109 (Iowa)
Definition
Definition to come...
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