Individual
KACI L KIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
Mailing address
3262 MAPLE AVE, LORIMOR, IA 50149-8054
(515) 313-7498
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00249
IA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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