Individual provider · Type 1 NPI

Kelly J. Bouchonville, PA-C

Physician Assistant · Iowa City, IA

NPI number 1154024586 Active

Practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Call (319) 356-8133 Map

Fax (319) 356-2999

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X14257 (MN)
Physician Assistant Primary 363A00000X124548 (IA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1154024586

Kelly J. Bouchonville, PA-C's National Provider Identifier is 1154024586, issued on Mar 24, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Iowa City, IA. The record was last updated on Aug 21, 2025.