Kaitlyn Clark, MS, LGC
Genetic Counselor, MS in Iowa City, IA. Individual provider (NPI-1).
NPI number1376117481
StatusActive
Last updated in NPPESDec 19, 2022
Details
- NPI
- 1376117481
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Clark
- Credential
- MS, LGC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2021
- Certification date
- Dec 16, 2022
- Last updated
- Dec 19, 2022
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 |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | – | – | Yes |
Other names
- Kaitlyn White (Former Name)
Practice location
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-384-9893
Mailing address
200 Hawkins DrPfp 31570
Iowa City, IA 52242-1009
Phone 319-384-9893
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 36 Genetic Counselor (M.S.) providers in Iowa City · All 7,729 providers in Iowa City
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