Kaisa Lyn Dodge, PA

NPI #1992485643 in Apple Valley, California

Provider Information

NPI Number: 1992485643
Entity Type: Individual
Name: Kaisa Lyn Dodge, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 18, 2023
Last Updated: Feb 5, 2024

Practice Location

Address: 18300 US HIGHWAY 18
City: Apple Valley
State: California
ZIP Code: 92307-2206
Phone: (760) 242-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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