Provider Demographics
NPI:1205407129
Name:WAYSON-KISLING, KAREN FRANCES (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:FRANCES
Last Name:WAYSON-KISLING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 COURT AVE
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:IA
Mailing Address - Zip Code:52301-1430
Mailing Address - Country:US
Mailing Address - Phone:319-350-6975
Mailing Address - Fax:
Practice Address - Street 1:579 COURT AVE
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IA
Practice Address - Zip Code:52301-1430
Practice Address - Country:US
Practice Address - Phone:319-350-6975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAG05210078363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology