Individual
KACI JO YOUNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2800 4TH ST SW STE 8, MASON CITY, IA 50401-1596
(641) 424-0000
Mailing address
111 SUNNY CIR, MASON CITY, IA 50401-6651
(641) 425-0197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A158472
IA
Other
Enumeration date
04/06/2020
Last updated
11/04/2021
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