Individual
KIMBERLY KAY EDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15601 HICKMAN RD, CLIVE, IA 50325-7985
(515) 987-6807
(515) 987-6812
Mailing address
20932 S AVE, DALLAS CENTER, IA 50063-8408
(515) 992-3346
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19801
IA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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