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Individual

LARA LEA KYHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1001 MASON WAY, SHELL ROCK, IA 50670-1007
(319) 885-6530
(877) 325-1948
Mailing address
31379 302ND ST, NEW HARTFORD, IA 50660-8602
(319) 240-8116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A095740
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467543124
IA
Enumeration date
09/27/2006
Last updated
10/25/2024
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