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General NPI Number Information
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NPI Number | 1487170718
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Entity Type | Individual
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Provider Name | KELLIE K BEMENT DNP, ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 4401 WESTOWN PKWY STE 108
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6721
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Country | US
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Telephone | 515-493-6595
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 WESTOWN PARKWAY #200 BOX 134
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City | WEST DES MOINES
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State | IA
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Zip | 50266
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Country | US
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Telephone | 515-558-6865
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Fax | 949-703-8835
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 104780
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A104780
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G176775
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License Number State | IA
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