Individual
KEVIN HANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2605 SW WHITE BIRCH DR, ANKENY, IA 50023-7204
(515) 643-7100
(515) 643-7145
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-7100
(515) 643-7145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-05009
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2015
Last updated
01/21/2024
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