Individual
KENNETH JAMES MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1215 PLEASANT ST, SUITE 303, DES MOINES, IA 50309-1416
(515) 241-4311
(515) 241-4320
Mailing address
1215 PLEASANT ST, SUITE 303, DES MOINES, IA 50309-1416
(515) 241-4311
(515) 241-4320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3772
IA
208000000X
Pediatrics Physician
DO00617
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO00617
LICENSE
RI
05
—
KM67872
—
RI
Enumeration date
01/17/2006
Last updated
07/23/2009
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