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NPI Code Detail

MEDICARE: DR. KATHERINE L IMBOREK MD

MEDICARE: DR. KATHERINE L IMBOREK MD
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
1207Q00000XFamily Medicine Physician39223IA

General Provider Information

NPI Number : 1902069875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE L IMBOREK MD
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-7000
Fax Number : 319-467-7400
Provider Business Practice Location Address
First Line : 3640 MIDDLEBURY RD
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2712
Country : US
Telephone Number : 319-384-7000
Fax Number : 319-467-7400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 05/14/2025

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