Basic Information
| Provider Information | |||||||||
| NPI: | 1144807876 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SILBERSTEIN | ||||||||
| FirstName: | KATHRYN | ||||||||
| MiddleName: | PATRICIA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3991 AUTUMN LEAF CT NE | ||||||||
| Address2: | |||||||||
| City: | SOLON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 523339201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193291711 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1421 4TH ST SW | ||||||||
| Address2: | |||||||||
| City: | MASON CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 504012736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414282080 | ||||||||
| FaxNumber: | 6414285150 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2021 | ||||||||
| LastUpdateDate: | 09/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 107955 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.