Individual
KENNETH J. MONSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 MERRILL STREET, BUSSEY, IA 50044
(641) 944-5813
(641) 944-5258
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 628-8894
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16953
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2032508
RAILROAD MEDICARE
IA
05
—
2032508
—
IA
Enumeration date
03/10/2006
Last updated
10/15/2007
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