Individual
DR. KATHLEEN A MEGIVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2710 SAINT FRANCIS DR STE 111, WATERLOO, IA 50702-5664
(319) 272-7425
(319) 272-8059
Mailing address
2710 SAINT FRANCIS DR STE 111, WATERLOO, IA 50702-5664
(319) 272-7425
(319) 272-8059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-02122
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6023333
—
IA
Enumeration date
07/01/2006
Last updated
07/21/2022
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