Individual
SUE ANN MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-2200
Mailing address
11553 NW 115TH AVE, GRANGER, IA 50109-9705
(515) 473-2574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H160360
IA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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