Individual provider · Type 1 NPI

Samuel Cole Kitzman, PA-C

Physician Assistant · Cedar Rapids, IA

NPI number 1194680140 Active

Practice location

2815 Edgewood Rd SW
Cedar Rapids, IA 52404-3258

Mailing address

130 Jefferson St Apt 8
North Liberty, IA 52317-9056

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X136503 (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 1194680140

Samuel Cole Kitzman, PA-C's National Provider Identifier is 1194680140, issued on Dec 22, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cedar Rapids, IA. The record was last updated on Feb 11, 2026.