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NPI Code Detail

MEDICARE: MS. KRISTA MARIE KAZEMBE D.P.T.

MEDICARE: MS. KRISTA MARIE KAZEMBE D.P.T.
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
1225100000XPhysical Therapist03059IA

General Provider Information

NPI Number : 1720199169
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTA MARIE KAZEMBE D.P.T.
Provider Business Mailing Address
First Line : IOWA CITY VA MEDICAL CENTER
Second Line : 601 HIGHWAY 6 WEST
City : IOWA CITY
State : IA
Zip : 52246-4831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : IOWA CITY VA MEDICAL CENTER
Second Line : 601 HIGHWAY 6 WEST
City : IOWA CITY
State : IA
Zip : 52246-4831
Country : US
Telephone Number : 319-338-0581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/11/2007

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