Individual
TRACY L KAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Mailing address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2215277
—
IA
Enumeration date
09/20/2005
Last updated
03/18/2013
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