Individual
DR. KIMBERLY ATHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 THOMAS BECK RD, DES MOINES, IA 50315-1064
(515) 809-2295
Mailing address
500 SW 7TH ST STE 302, DES MOINES, IA 50309-4545
(515) 809-2295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008253
IA
1041C0700X
Clinical Social Worker
008253
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000220247
—
IA
Enumeration date
04/03/2017
Last updated
10/05/2023
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