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NPI Code Detail

MEDICARE: LINDSEY J KEONIN ARNP

MEDICARE: LINDSEY J KEONIN ARNP
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
1363LW0102XWomen's Health Nurse PractitionerA110681IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2I0623OTHERIAMEDICARE ID

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 : 1700020203
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY J KEONIN ARNP
Provider Business Mailing Address
First Line : PO BOX 4557
Second Line :
City : DES MOINES
State : IA
Zip : 50305-4557
Country : US
Telephone Number : 866-290-4325
Fax Number : 515-280-9525
Provider Business Practice Location Address
First Line : 2304 UNIVERSITY AVENUE
Second Line :
City : DES MOINES
State : IA
Zip : 50311-4316
Country : US
Telephone Number : 866-290-4325
Fax Number : 515-280-9525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2009
Last Update Date : 09/10/2009

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