Healthcare Provider Details

I. General information

NPI: 1497690192
Provider Name (Legal Business Name): KILEY VOGEL MS, T-LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 10TH AVE SE # 301-B
CEDAR RAPIDS IA
52401-2358
US

IV. Provider business mailing address

329 10TH AVE SE # 301-B
CEDAR RAPIDS IA
52401-2358
US

V. Phone/Fax

Practice location:
  • Phone: 319-366-7026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number134274
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: