Individual
KALLIE DEKOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1111 6TH AVE, MAIN 3, DES MOINES, IA 50314
(515) 247-3330
(515) 643-2219
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-6617
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
C138665
IA
Other
Enumeration date
02/11/2015
Last updated
06/13/2018
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