Individual
KIMBRA KAY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8900 C AVENUE NORTHEAST, CEDAR RAPIDS, IA 52402
(319) 200-3850
(319) 200-3866
Mailing address
8900 C AVE, CEDAR RAPIDS, IA 52402
(319) 743-5187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P46619
IA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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