Healthcare Provider Details

I. General information

NPI: 1508729237
Provider Name (Legal Business Name): ANDREW STEVEN KEHRES RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 W
IOWA CITY IA
52246-2209
US

IV. Provider business mailing address

601 HIGHWAY 6 W
IOWA CITY IA
52246-2209
US

V. Phone/Fax

Practice location:
  • Phone: 319-351-1110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number155812
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: