Individual
KISHA KAY BLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
5374 EASTERN AVE STE 100, DAVENPORT, IA 52807-2719
(563) 345-5477
Mailing address
5374 EASTERN AVE STE 100, DAVENPORT, IA 52807-2719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A160021
IA
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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