Individual
KAYLEE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3187 COUNTRY PARK DR, TODDVILLE, IA 52341-9728
(319) 213-1299
Mailing address
3187 COUNTRY PARK DR, TODDVILLE, IA 52341-9728
(319) 213-1299
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
137788
IA
163WE0003X
Emergency Registered Nurse
Primary
137788
IA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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