Individual
KEVIN LEE DENCKLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 N 31ST PL, FORT DODGE, IA 50501-2920
(515) 408-8647
Mailing address
1044 N 31ST PL, FORT DODGE, IA 50501-2920
(515) 408-8647
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
702XX8341
IA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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