Individual
KELLY-JO PASS BALIGNASAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888
Mailing address
3108 155TH CIR, URBANDALE, IA 50323-1648
(515) 554-1737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-105278
IA
Other
Enumeration date
09/26/2016
Last updated
04/25/2018
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