Provider Demographics
NPI:1518309301
Name:WHALEN, KARA NICOLE (PA-C, MPAS)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:NICOLE
Last Name:WHALEN
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Gender:F
Credentials:PA-C, MPAS
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF PSYCHIATRY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-4658
Mailing Address - Fax:319-353-7788
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-4658
Practice Address - Fax:319-353-7788
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA002414363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant