KAITLIN L GEORGIAFANDIS

ROCKFORD, IL
NPI1760824114
Former NameKAITLIN L KNACKSTEDT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085004758)
Enumeration Date2013-07-26
Last Update Date2021-02-26
Business Address
KAITLIN L GEORGIAFANDIS PA-C
1340 CHARLES ST
ROCKFORD, IL 61104-2200
Phone number: 779-696-1900
Mailing Address
KAITLIN L GEORGIAFANDIS PA-C
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number:
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