Individual
KATE MARGUERITE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 384-7222
(319) 384-7822
Mailing address
200 HAWKINS DR DEPT OF, IOWA CITY, IA 52242-1009
(319) 384-7222
(319) 384-7822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-11299
IA
2084P0800X
Psychiatry Physician
R-11299
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-11299
IOWA LICENSE NUMBER
IA
Enumeration date
06/11/2018
Last updated
01/17/2019
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