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Individual

DR. KELSEY MAE SUKOVATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-8000
Mailing address
3735 RAVENWOOD CIR APT 10, WATERLOO, IA 50702-5521
(515) 370-3321

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
088135
IA

Other

Enumeration date
07/09/2017
Last updated
07/09/2017
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