Individual
KENNETH A CEARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 BOYSON RD STE 1, HIAWATHA, IA 52233-2211
(319) 449-4052
(319) 449-4153
Mailing address
1350 BOYSON RD STE 1, HIAWATHA, IA 52233-2211
(319) 449-4052
(319) 442-4153
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22198
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192542
—
IA
Enumeration date
09/07/2005
Last updated
06/30/2025
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