Individual
KYLE P COMPAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 THEATRE DR, B, OTTUMWA, IA 52501
(641) 684-2551
Mailing address
6640 AKERS MILL RD SE, APT. 3322, ATLANTA, GA 30339-2624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN219725
GA
Other
Enumeration date
05/19/2014
Last updated
11/26/2014
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