Organization
KHAN FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN KELLEHER (COMPLIANCE OFFICER)
(515) 226-7423
Entity
Organization
Contact information
Practice address
2501 WESTOWN PKWY, SUITE 1103, WEST DES MOINES, IA 50266-1438
(515) 440-3484
(515) 440-0557
Mailing address
2501 WESTOWN PKWY, SUITE 1103, WEST DES MOINES, IA 50266-1438
(515) 440-3484
(515) 440-0557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1325
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185611
—
IA
Enumeration date
02/18/2008
Last updated
03/25/2010
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