Individual
MS. KATHRYN DEBRA TREVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2979 VICTORIA ST, BETTENDORF, IA 52722-2784
(563) 332-8528
Mailing address
1104 KIMBERLY RD, #104, BETTENDORF, IA 52722-4164
(563) 940-1196
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P38324
IA
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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