Individual
KELLIE VERMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NW 114TH ST, SUITE 244, CLIVE, IA 50325-7007
(515) 222-7550
(515) 222-7555
Mailing address
PO BOX 1357, DES MOINES, IA 50305-1357
(515) 222-7888
(515) 222-7881
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
128846
IA
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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