Individual
MUSA KIBYEGON KOECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14921 SUMMIT DR, CLIVE, IA 50325-7830
(515) 724-8880
Mailing address
14921 SUMMIT DR, CLIVE, IA 50325-7830
(515) 724-8880
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
099585
IA
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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