Healthcare Provider Details

I. General information

NPI: 1881427854
Provider Name (Legal Business Name): FRANK WILLIAM KIENER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 WOLCOTT CIR
DES MOINES IA
50321-1811
US

IV. Provider business mailing address

5605 WOLCOTT CIR
DES MOINES IA
50321-1811
US

V. Phone/Fax

Practice location:
  • Phone: 515-249-1654
  • Fax:
Mailing address:
  • Phone: 515-249-1654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0527
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: