Blank Childrens Hospital

NPI 1063758605 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1063758605
Enumeration Date 01/01/2013
Last Updated 01/01/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KEN KEN
Position PHYSICIAN
Phone (515) 266-6795
Fax
Practice Location
6540 NE 12TH AVE
PLEASANT HILL IA, 50327-8828, US
Phone (515) 266-6795
Fax
Business Location
1200 PLEASANT ST
DES MOINES IA, 50309-1406, US
Phone
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Iowa
License Number C-119097
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According to our database, Blank Childrens Hospital NPI is 1063758605, taxonomy code is 363LP0200X and license number is C-119097, license state is located at Iowa. Blank Childrens Hospital physically located at 6540 Ne 12th Ave, Pleasant Hill IA, 50327-8828. NPI Number 1033115704 has the healthcare provider type.

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1063758605 NPI number is provided on an as is basis without warranty of any kind. 1063758605 is maintained by the National Plan & Provider Enumeration System. The contents of Blank Childrens Hospital are for informational purposes only.