Individual
KENZIE RENEE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2021
Last updated
10/24/2022
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