Individual
KELLY A KERKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 W 5TH ST, DUBUQUE, IA 52001-6559
(414) 617-8837
Mailing address
1023 W 5TH ST, DUBUQUE, IA 52001-6559
(414) 617-8837
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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