Most Relevant Information
Provider Data
| NPI Number: | 1003402363 |
| Provider Name: | KAITLIN EILEEN ZIEDONIS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 10003113A |
Most Important Dates
| Enumeration Date: | 12/21/2020 |
| Last Updated: | 10/03/2023 |
Provider Practice Location
5330 E STOP 11 RD
INDIANAPOLIS
IN
462376345
Practice Location Phone/Fax
| Phone: | 3178931900 |
| Fax: | 3178931901 |
Provider Mailing Location
PO BOX 781076
DETROIT
MI
482781076
Provider Mailing Phone/Fax
| Phone: | 3175284800 |
| Fax: | 3178651479 |