Individual
MRS. KATHLEEN MARIE NENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3319 SPRING STREET, DAVENPORT, IA 52807
(563) 359-1641
(563) 359-4634
Mailing address
3319 SPRING STREET, DAVENPORT, IA 52807
(563) 359-1641
(563) 359-4634
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
209006832
IL
208800000X
Urology Physician
A097666
IA
363L00000X
Nurse Practitioner
Primary
097666
IA
Other
Enumeration date
09/20/2007
Last updated
10/01/2021
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