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NPI Code Detail

MEDICARE: MRS. WENDY ANN KINNE PHARMD

MEDICARE: MRS. WENDY ANN KINNE PHARMD
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
1183500000XPharmacistIA18028IA

General Provider Information

NPI Number : 1609920602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY ANN KINNE PHARMD
Provider Business Mailing Address
First Line : 1256 NOBLE HILLS PL
Second Line :
City : BOONE
State : IA
Zip : 50036-7569
Country : US
Telephone Number : 515-230-5517
Fax Number :
Provider Business Practice Location Address
First Line : 120 S STORY ST
Second Line :
City : BOONE
State : IA
Zip : 50036-4739
Country : US
Telephone Number : 515-432-3460
Fax Number : 515-432-7169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 04/21/2023

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