Susan Kennedy DO

NPI 1720095276 - Family Medicine - 207Q00000X

NPI Details
NPI 1720095276
Gender Female
Enumeration Date 08/01/2006
Last Updated 05/20/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
119 19TH ST
SUITE 106
WEST DES MOINES IA, 50265-4226, US
Phone (515) 226-0112
Fax (515) 226-0208
Business Location
PO BOX 1475
DES MOINES IA, 50305-1475, US
Phone (515) 226-0112
Fax (515) 643-5410
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 02732
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According to our database, Susan Kennedy DO NPI is 1720095276, taxonomy code is 207Q00000X and license number is 02732, license state is located at Iowa. Susan Kennedy DO physically located at 119 19th St, West Des Moines IA, 50265-4226. NPI Number Susan Kennedy DO has the Individual type.

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1720095276 NPI number is provided on an as is basis without warranty of any kind. 1720095276 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Kennedy DO are for informational purposes only.