Search › Iowa › 363A00000X
Jonathan Kilstrom, PA-C
NPI 1740695899 · on the registry since 2014
Practice
- Address
- 933 E Pierce St
Council Bluffs, IA 51503 - Phone
- (712) 396-6111
- Fax
- (712) 396-7026
- Organisation at this address
- Pathlab Ltd.
The Inroads Foundation
Midlands Radiation Oncology Pc
Infectious Disease Associates Pc
Jennie Edmundson Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 5950 University Ave Ste 105, West Des Moines, IA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- TX, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa