Provider Information for 1699207134
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. KIMBERLY ATHUMAN
Sex: Female
NPI: 1699207134
Last Updated: 2023-10-05
Certification Date: 2023-10-05
Certification Date: 2023-10-05
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699207134 | ||||||||||||
| Enumeration Date | 2017-04-03 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 500 SW 7TH ST STE 302 DES MOINES, IA 50309-4545 United States Phone: 515-809-2295 | Fax: | ||||||||||||
| Primary Practice Address | 901 THOMAS BECK RD DES MOINES, IA 50315-1064 United States Phone: 515-809-2295 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|