Individual
KRISTEN ANN MCKIBBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 OFFICE PARK RD STE 216, WEST DES MOINES, IA 50265-2509
(515) 419-5988
Mailing address
6609 PECKHAM ST, JOHNSTON, IA 50131-2856
(515) 419-5988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20280
IA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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