Individual
SHANIA KINYWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 BENNETT AVE, DES MOINES, IA 50310-6112
(916) 668-9183
Mailing address
2323 BENNETT AVE, DES MOINES, IA 50310-6112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790488567
—
IA
Enumeration date
05/11/2023
Last updated
05/11/2023
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