Kallie Lynne Van Kley
Physician Assistant in Orange City, IA. Individual provider (NPI-1).
NPI number1003765124
StatusActive
Last updated in NPPESJan 22, 2026
Details
- NPI
- 1003765124
- Entity type
- Individual (NPI-1)
- Name
- Kallie Lynne Van Kley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2026
- Certification date
- Jan 22, 2026
- Last updated
- Jan 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
101 7th St SwOrange City, IA 51041-1923
Phone 712-707-7000
Mailing address
4683 Legion St Unit 60Newton, IA 50208-8742
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Physician Assistant providers in Orange City · All 229 providers in Orange City
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