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Organization

IOWA FOOT CARE CENTER LLC

Active
Parent organization
KIMBERLY J HARMON DBA IOWA FOOT CARE CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIMBERLY J HARMON DBA IOWA FOOT CARE CENTER
Authorized official
DR. KIMBERLY JANE HARMON D.P.M. (PHYSICIAN/OWNER)
(515) 233-0943
Entity
Organization

Contact information

Practice address
217 DUFF AVE STE 2, AMES, IA 50010-6609
(515) 233-0943
(515) 663-8052
Mailing address
217 DUFF AVE STE 2, AMES, IA 50010-6609
(515) 233-0943
(515) 663-8052

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00664
MEDICAL LICENSE
IA
01
1710151
CERTIFICATE OF REGISTRATION-IOWA CONTROLLED SUBSTANCES ACT
IA
01
FH7999141
FEDERAL CONTROLLED SUBSTANCES REGISTRATION #
01
POD50015
REGISTRATION OF RADIATION EMITTING MACHINES
IA
Enumeration date
12/10/2018
Last updated
10/16/2019
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