Individual
KIMBERLY S SCHMIDGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
816 VALLEY ST, MEDIAPOLIS, IA 52637-9491
(319) 394-3568
Mailing address
816 VALLEY ST, MEDIAPOLIS, IA 52637-9491
(319) 394-3568
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001298
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150292
—
IA
Enumeration date
11/07/2006
Last updated
10/15/2007
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