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NPI Code Detail

MEDICARE: DR. KIMBERLY A HASS DO

MEDICARE:  DR. KIMBERLY A HASS  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02895IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144281510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY A HASS DO
Provider Business Mailing Address
First Line : 3600 30TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50310-5753
Country : US
Telephone Number : 515-699-5999
Fax Number :
Provider Business Practice Location Address
First Line : 3600 30TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50310-5753
Country : US
Telephone Number : 515-699-5999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 08/15/2016

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Directions to “ DR. KIMBERLY A HASS DO” Practice Location

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