Individual
MS. KELLY MARIE BROWN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5950 UNIVERSITY AVE STE 385, WEST DES MOINES, IA 50266-8216
(515) 875-9706
(515) 875-9707
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03664
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03664
PROFESSIONAL LICENSE NUMB
IA
Enumeration date
08/12/2006
Last updated
12/14/2023
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