KAITLEN ELIZABETH KOLODGE

CHULA VISTA, CA
NPI1871958942
Former NameKAITLEN LAINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  53094)
Enumeration Date2015-12-16
Last Update Date2022-07-20
Business Address
Ms. KAITLEN ELIZABETH KOLODGE MS, PA-C
955 LANE AVE STE 200
CHULA VISTA, CA 91914-4525
Phone number: 619-421-3400
Mailing Address
Ms. KAITLEN ELIZABETH KOLODGE MS, PA-C
4445 EASTGATE MALL STE 105
SAN DIEGO, CA 92121-1979
Phone number: 858-357-9450