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NPI Code Detail

MEDICARE: KIMBERLY FAYE CASE M.S. C.N.P.

MEDICARE: KIMBERLY FAYE CASE M.S. C.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner2723MN
2363L00000XNurse PractitionerR143364-7MN
3363L00000XNurse Practitioner108760IA
4363L00000XNurse PractitionerA154471IA

General Provider Information

NPI Number : 1255317160
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY FAYE CASE M.S. C.N.P.
Provider Business Mailing Address
First Line : 1111 DUFF AVE
Second Line :
City : AMES
State : IA
Zip : 50010-5745
Country : US
Telephone Number : 515-956-2880
Fax Number : 515-956-2879
Provider Business Practice Location Address
First Line : 1111 DUFF AVE
Second Line :
City : AMES
State : IA
Zip : 50010-5745
Country : US
Telephone Number : 515-956-2880
Fax Number : 515-956-2879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 04/13/2021

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