Individual
MRS. KATIE GIMBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001833
IA
363A00000X
Physician Assistant
CS20173
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932193224
—
IA
Enumeration date
01/11/2008
Last updated
05/02/2016
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