Individual
NICOLE KOFMEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 1ST AVE S STE 200, FORT DODGE, IA 50501-4300
(515) 955-6922
Mailing address
2105 270TH ST, OTHO, IA 50569-7522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
088579
IA
Other
Enumeration date
01/23/2017
Last updated
02/18/2020
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