Individual
GEORGE T KAPPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 S 3RD ST, 1A, POLK CITY, IA 50226-1130
(515) 984-6426
(515) 984-6428
Mailing address
1010 S THIRD ST, 1A, POLK CITY, IA 50226-1165
(515) 984-6426
(515) 984-6428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21564
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080108761
RR MEDICARE
IA
05
—
2161380
—
IA
05
—
3161380
—
IA
05
—
4161380
—
IA
05
—
6161380
—
IA
Enumeration date
01/04/2006
Last updated
05/03/2011
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