Provider Demographics
NPI:1104213107
Name:DUNBAR, KATIE KAY (DO)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:KAY
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 8TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-2134
Mailing Address - Country:US
Mailing Address - Phone:319-364-8704
Mailing Address - Fax:319-365-7747
Practice Address - Street 1:500 8TH AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2134
Practice Address - Country:US
Practice Address - Phone:319-364-8704
Practice Address - Fax:319-365-7747
Is Sole Proprietor?:No
Enumeration Date:2015-04-17
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-10654207Q00000X
IADO-04986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine