Individual
MS. KAILEY ANN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 867-3394
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G159859
IA
Other
Enumeration date
07/27/2020
Last updated
10/31/2022
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