# KHAN FAMILY MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316115876
- **Authorized official:** COLEEN KELLEHER (COMPLIANCE OFFICER)
- **Authorized official phone:** (515) 226-7423

## Contact information

- **Practice address:** 2501 WESTOWN PKWY, SUITE 1103, WEST DES MOINES, IA 50266-1438
- **Practice address phone:** (515) 440-3484
- **Practice address fax:** (515) 440-0557
- **Mailing address:** 2501 WESTOWN PKWY, SUITE 1103, WEST DES MOINES, IA 50266-1438
- **Mailing address phone:** (515) 440-3484
- **Mailing address fax:** (515) 440-0557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1325 | IA | Yes |

## Other

- **Enumeration date:** 02/18/2008
- **Last updated:** 03/25/2010