Individual
KELLI MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
307 E SCENIC VALLEY AVE, INDIANOLA, IA 50125-4865
(515) 961-8448
(515) 643-9100
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 961-8448
(515) 643-9100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A093029
IA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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