Individual
KEVIN WAYNE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1208 N LINCOLN ST, KNOXVILLE, IA 50138-3421
(641) 828-3832
(641) 828-3820
Mailing address
1208 N LINCOLN ST, KNOXVILLE, IA 50138-3421
(641) 828-3832
(641) 828-3820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3542
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043282759
NPI NUMBER
IA
05
—
3440446
—
IA
05
—
4440446
—
IA
05
—
5440446
—
IA
01
—
P00210325
RAILROAD MEDICARE
IA
Enumeration date
02/06/2006
Last updated
08/31/2022
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