Healthcare Provider Details

I. General information

NPI: 1891627162
Provider Name (Legal Business Name): KATHRYN JEAN KRIENER-KLINK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN JEAN KRIENER LISW

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 CENTER ST STE 17
DES MOINES IA
50309-1016
US

IV. Provider business mailing address

1223 CENTER ST STE 17
DES MOINES IA
50309-1016
US

V. Phone/Fax

Practice location:
  • Phone: 515-699-5999
  • Fax: 515-288-3945
Mailing address:
  • Phone: 515-699-5999
  • Fax: 515-288-3945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number04843
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: