Individual
KELLI A ROENFANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
840 EAST UNIVERSITY AVENUE, DES MOINES, IA 50316-2304
(515) 265-4211
(515) 309-5993
Mailing address
840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
(515) 265-4211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62118
MN
207Q00000X
Family Medicine Physician
Primary
DO-04109
IA
207Q00000X
Family Medicine Physician
R-8696
IA
Other
Enumeration date
07/31/2009
Last updated
05/11/2020
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