Individual
KENNETH CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3804 E 29TH ST, DES MOINES, IA 50317-4232
(515) 557-0415
Mailing address
423 19TH ST SW, ALTOONA, IA 50009-5814
(515) 557-0415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001356
IA
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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