Individual
LOU ANN KIESSLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 S CLARK ST, SUITE 220, CARROLL, IA 51401-3065
(712) 792-8255
(712) 792-8256
Mailing address
405 S CLARK ST, SUITE 220, CARROLL, IA 51401-3065
(712) 792-8255
(712) 792-8256
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31091
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1139030
—
IA
Enumeration date
03/07/2006
Last updated
03/24/2009
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