Individual
KYLE GOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6212
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6212
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD-53104
IA
Other
Enumeration date
03/24/2020
Last updated
07/02/2024
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