Individual
DR. KATHLEEN D KELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
605 NINTH ST, HAWARDEN, IA 51023-2220
(712) 551-1603
(712) 551-1490
Mailing address
PO BOX 153, HAWARDEN, IA 51023-0153
(712) 551-1603
(712) 551-1490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1646
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147090
—
IA
05
—
9201220
—
SD
Enumeration date
04/05/2006
Last updated
11/21/2007
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