Individual
MS. KENDALL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A161216
IA
Other
Enumeration date
10/21/2012
Last updated
01/05/2021
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