Individual
MRS. KELLEY S BAUMHOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5901 WESTOWN PKWY STE 200, WEST DES MOINES, IA 50266-8207
(515) 225-3546
(515) 224-5946
Mailing address
5901 WESTOWN PKWY STE 200, WEST DES MOINES, IA 50266-8207
(515) 225-3546
(515) 224-5946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02485
IA
152W00000X
Optometrist
2004019595
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166876
HEALTHLINK
—
01
—
192152
BLUE CROSS/SHIELD
MO
05
—
319115903
—
MO
05
—
IA19629
—
IA
Enumeration date
05/05/2006
Last updated
06/02/2020
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