| Doctor Name: | KAITLIN M FEEHAN |
| NPI Number: | 1013215672 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0772 |
| Business Practice Address: | 1417 S. Cliff Ave. Ste 010 Sioux Falls, SD - 571051014 |
| Business Phone Number: | 6053223666 |
| Business Fax Number: | 6053223665 |
| Mailing Address: | 5005 W Equestrian Pl Apt 2320, SIOUX FALLS |
| State: | SD |
| Postal Code: | 571065756 |
| Phone Number: | 6053919151 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 03/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |