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KIMBERLY A DEPPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
23866 216TH ST, LA MOTTE, IA 52054-9700
(563) 580-1847
Mailing address
23866 216TH ST, LA MOTTE, IA 52054-9700
(563) 580-1847

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A047950
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407845175
MEDICARE RAILROAD
IA
Enumeration date
10/31/2006
Last updated
11/18/2016
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