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Individual

KITTY C STORM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A

Contact information

Practice address
1301 PENNSYLVANIA AVE, STE 417, DES MOINES, IA 50316-2350
(515) 263-5684
Mailing address
1555 SPRINGS DR, PLEASANT HILL, IA 50327-0938
(641) 828-9055

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01166
IA

Other

Enumeration date
11/28/2006
Last updated
02/20/2008
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