Individual
KAREN A KIENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1221 PLEASANT ST, SUITE 375, DES MOINES, IA 50309-1423
(515) 241-4646
(515) 241-4009
Mailing address
1221 PLEASANT ST, SUITE 375, DES MOINES, IA 50309-1423
(515) 241-4646
(515) 241-4009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24649
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871571414
—
IA
01
—
250012915
RR MEDICARE
IA
05
—
3027557
—
IA
Enumeration date
01/04/2006
Last updated
05/17/2012
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