Healthcare Provider Details

I. General information

NPI: 1003615659
Provider Name (Legal Business Name): KERRI J HUSMAN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E COLLEGE ST STE 211
IOWA CITY IA
52240-1759
US

IV. Provider business mailing address

221 E COLLEGE ST STE 211
IOWA CITY IA
52240-1759
US

V. Phone/Fax

Practice location:
  • Phone: 866-425-8066
  • Fax: 319-257-2088
Mailing address:
  • Phone: 866-425-8066
  • Fax: 319-257-2088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. KERRI HUSMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 319-621-5865