Individual
TIFFANY RAE KINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 W BROADWAY, COUNCIL BLUFFS, IA 51501-3814
(712) 215-6588
Mailing address
308 E VALLEY ST, RED OAK, IA 51566-1835
(712) 612-5221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P48211
IA
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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