Individual
MRS. KRISTA S KINKENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1014 230TH ST, OGDEN, IA 50212-7528
(786) 309-8495
Mailing address
1014 230TH ST, OGDEN, IA 50212-7528
(786) 309-8495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11019372
IA
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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