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Organization
BLANK CHILDRENS HOSPITAL
Active
Organization
BLANK CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN CHEYNE (PHYSICIAN)
(515) 241-8198
Entity
Organization
Contact information
Practice address
6540 NE 12TH AVE, PLEASANT HILL, IA 50327-8828
(515) 266-6795
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C-119097
IA
Other
Enumeration date
01/01/2013
Last updated
01/01/2013
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