Healthcare Provider Details

I. General information

NPI: 1871487975
Provider Name (Legal Business Name): ANMOL KUMARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/13/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 KIMBALL AVE. STE. 101 WATERLOO, IA. 50702 MERCYONE
WATERLOO IA
50702
US

IV. Provider business mailing address

2055 KIMBALL AVE. STE. 101 WATERLOO, IA. 50702 MERCYONE
WATERLOO IA
50702
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-2112
  • Fax:
Mailing address:
  • Phone: 319-272-2112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR13407
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: