Individual
LISA KAMPHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4507 FOREST AVE, DES MOINES, IA 50311-2446
(515) 243-6309
(515) 283-2502
Mailing address
4507 FOREST AVE, DES MOINES, IA 50311-2446
(515) 243-6309
(515) 283-2502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
077227
IA
Other
Enumeration date
09/29/2005
Last updated
09/27/2010
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