Provider Information for 1376181883
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Mrs. KRISTILEE CARYL CAPPAERT
Sex: Female
NPI: 1376181883
Last Updated: 2024-03-25
Certification Date: 2024-03-21
Certification Date: 2024-03-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376181883 | ||||||||||||
| Enumeration Date | 2019-12-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2535 KIMBERLY RD SUITE 10N BETTENDORF, IA 52722-2033 United States Phone: 092-356-6053 | Fax: | ||||||||||||
| Primary Practice Address | 1910 E KIMBERLY RD STE 314 DAVENPORT, IA 52807-2033 United States Phone: 563-386-4004 | Fax:563-386-4026 | ||||||||||||
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