Individual
KATHLEEN M VERSLUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-2120
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-2120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-095122
IA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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