Individual
KATHLEEN CAROL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 UNIVERSITY AVE STE 120, DES MOINES, IA 50314-2355
(515) 248-1500
(515) 248-1510
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017602
IL
363LF0000X
Family Nurse Practitioner
Primary
A152354
IA
Other
Enumeration date
05/10/2018
Last updated
10/12/2018
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