Individual
PAIGE MARIE KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 NW 36TH ST, ANKENY, IA 50023-8411
(515) 358-7550
(515) 358-7551
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-7550
(515) 358-7551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
123161
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2022
Last updated
03/01/2024
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