Individual
KELLY JO PFUNDHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 NW 114TH ST STE 151, CLIVE, IA 50325-7046
(515) 222-7474
(515) 222-7491
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7474
(515) 222-7491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A126330
IA
Other
Enumeration date
10/09/2015
Last updated
04/14/2021
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