Healthcare Provider Details

I. General information

NPI: 1497717946
Provider Name (Legal Business Name): KAVALIER & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 GRAND AVE
WEST DES MOINES IA
50265-3502
US

IV. Provider business mailing address

1003 GRAND AVE
WEST DES MOINES IA
50265-3502
US

V. Phone/Fax

Practice location:
  • Phone: 515-267-1003
  • Fax: 515-267-0100
Mailing address:
  • Phone: 515-267-1003
  • Fax: 515-267-0100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RANDALL ALLEN KAVALIER
Title or Position: PRESIDENT
Credential: DO
Phone: 515-267-1003