Individual
KELSEY KIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3495 SEVENTH AVE, MARION, IA 52302
(319) 373-0430
Mailing address
1309 BERINGER CT NE, CEDAR RAPIDS, IA 52402-8003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24812
IA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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