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Individual

KAYLA KLEIHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., LAT, ATC, EMT

Contact information

Practice address
5921 SE 14TH ST, DES MOINES, IA 50320-1746
(515) 953-0024
(515) 953-0257
Mailing address
5921 SE 14TH ST, DES MOINES, IA 50320-1746

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000945
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000945
LICENSED ATHLETIC TRAINER
IA
01
2000006151
CERTIFIED ATHLETIC TRAINER
IA
01
B-11-350-21
EMERGENCY MEDICAL TECHNICIAN
IA
Enumeration date
11/14/2016
Last updated
11/14/2016
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