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Individual

DR. KEVIN J. HEALY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1111 DUFF AVE, AMES, IA 50010-5793
(515) 239-2182
(515) 239-3665
Mailing address
1111 DUFF AVE, AMES, IA 50010-5793
(515) 239-2182
(515) 239-3665

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22853
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0077602
IA
Enumeration date
10/20/2005
Last updated
07/08/2007
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