Individual
STACEY KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141
Mailing address
8101 BIRCHWOOD CT, SUITE S, JOHNSTON, IA 50131-2930
(515) 471-9720
(515) 471-9725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3667
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
10/11/2006
Last updated
01/18/2012
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