Healthcare Provider Details

I. General information

NPI: 1386263747
Provider Name (Legal Business Name): LINDEN POINT CLINICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 106TH ST
URBANDALE IA
50322-3766
US

IV. Provider business mailing address

2545 106TH ST
URBANDALE IA
50322-3766
US

V. Phone/Fax

Practice location:
  • Phone: 515-419-5359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JANUARY KIM
Title or Position: PRACTICE OWNER
Credential: ARNP
Phone: 515-419-5359