Individual
KIMBERLY HAGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(193) 698-6003
(319) 369-7419
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7451
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-46409
IA
207P00000X
Emergency Medicine Physician
R-10605
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-46409
IOWA LICENSE
IA
Enumeration date
06/14/2016
Last updated
03/03/2023
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