Individual
KIMBERLY ANN INGWERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 LAKE ST, SPIRIT LAKE, IA 51360-1100
(712) 336-6425
(712) 336-6439
Mailing address
1331 260TH AVE, SPIRIT LAKE, IA 51360-7117
(712) 336-3616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
065734
IA
Other
Enumeration date
07/07/2008
Last updated
07/23/2008
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