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Individual

MR. KIM ALAN PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE ANESTHETIST

Contact information

Practice address
1229 C AVENUE EAST, MAHASKA HEALTH PARTNERSHIP, OSKALOOSA, IA 52577-9146
(641) 672-3100
(641) 672-3215
Mailing address
2446 NEWPORT CIRCLE, OSKALOOSA, IA 52577-9146
(641) 672-1309

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D061933
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122051
IA
01
50829
WELLMARK BCBS
01
IA0102
JOHN DEERE
Enumeration date
08/01/2006
Last updated
07/08/2007
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