Individual
KRISTEN ANN MAYLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Mailing address
2501 PIERCE ST, SIOUX CITY, IA 51104-3725
(712) 294-5000
(712) 294-5091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-11275
IA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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