Individual
KATHY ANN ALLSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 QUASQUETON DIAG BLVD. #4, INDEPENDENCE, IA 50644
(319) 934-3198
Mailing address
2617 QUASQUETON DIAG BLVD. #4, INDEPENDENCE, IA 50644
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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