Healthcare Provider Details

I. General information

NPI: 1942642426
Provider Name (Legal Business Name): KIMBERLY CAFARO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 CORPORATE DR STE 210
WEST DES MOINES IA
50266-5939
US

IV. Provider business mailing address

2165 SE OXFORD DR
WAUKEE IA
50263-8111
US

V. Phone/Fax

Practice location:
  • Phone: 507-720-5500
  • Fax:
Mailing address:
  • Phone: 507-720-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG121438
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: