Healthcare Provider Details

I. General information

NPI: 1730003476
Provider Name (Legal Business Name): MEREDITH KAISER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 E 39TH STREET CT
DES MOINES IA
50317-5838
US

IV. Provider business mailing address

2312 E 9TH ST
DES MOINES IA
50316-1720
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number719162
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number145316
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: