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Individual

KRISTI MCDONOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1527 ALBIA RD, OTTUMWA, IA 52501-3907
(641) 682-8772
(641) 814-8745
Mailing address
1527 ALBIA RD, OTTUMWA, IA 52501-3907
(641) 682-8772
(641) 814-8745

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133286
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659353670
IA
Enumeration date
03/04/2019
Last updated
03/04/2019
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