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General NPI Number Information
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NPI Number | 1790300648
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Entity Type | Organization
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Legal Business Name | KDP MANAGEMENT SERVICES PLLC
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 475 S 50TH ST STE 600
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City | WEST DES MOINES
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State | IA
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Zip | 50265-6979
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Country | US
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Telephone | 319-531-6000
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Fax | 870-252-2681
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Provider Business Mailing Address
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Address Line | 475 S 50TH ST STE 600
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City | WEST DES MOINES
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State | IA
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Zip | 50265-6979
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Country | US
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Telephone | 515-226-3415
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Fax | 870-252-2681
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | KARA DOBELIS POHREN
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Credential |
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Telephone | 515-218-1399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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