Individual
DAVID SCOTT KERMODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
411 LAUREL ST STE 3300, DES MOINES, IA 50314-3027
(515) 643-6400
(515) 643-5816
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-6400
(515) 643-5816
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
02888
IA
208600000X
Surgery Physician
Primary
DO-02888
IA
208600000X
Surgery Physician
R4H42
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158283
ANTHEM BLUE CROSS BLUE SHIELD MISSOURI
MO
01
—
72045
BLUECROSS BLUE SHIELD - IOWA
IA
01
—
906555
HEALTHLINK
MO
Enumeration date
02/02/2006
Last updated
09/28/2018
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