Individual
DR. KEVIN C MASSICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
(515) 699-5974
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5876
(515) 699-5999
(515) 699-5974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25510
IA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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