Individual
CHRISTOPHER GAROLD KEARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
204 N 4TH AVE E, NEWTON, IA 50208-3135
(641) 792-1273
Mailing address
303 E 17TH ST N, NEWTON, IA 50208-3442
(641) 840-0764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A110618
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A110618
FNP LICENSE
IA
Enumeration date
06/14/2017
Last updated
06/14/2017
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