Individual
KAYLEEN BETH HORNBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1360 NW 18TH ST STE 102, ANKENY, IA 50023-9105
(515) 875-9730
(515) 875-9731
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3587
IA
207Q00000X
Family Medicine Physician
R7044
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456244
—
IA
05
—
1396706362
—
IA
Enumeration date
03/30/2006
Last updated
04/04/2024
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