Individual
KEVIN BUELTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 BRUNING ST, BREDA, IA 51436-7725
(712) 269-8388
Mailing address
PO BOX 345, BREDA, IA 51436-0345
(712) 269-8388
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/04/2024
Last updated
03/22/2025
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