Individual
CARRIE J KENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 EDGINGTON AVE, ELDORA, IA 50627-1624
(641) 939-7777
(641) 939-7778
Mailing address
1506 EDGINGTON AVE, ELDORA, IA 50627-1624
(641) 939-7777
(641) 939-7778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
084170
IA
Other
Enumeration date
08/26/2016
Last updated
08/31/2016
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