Kamstra, Bradley Dean

Kamstra, Bradley Dean is an sole proprietor health care provider with primary practice located at 2121 Hegg Dr , Rock Valley IA 51247-1445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kamstra, Bradley Dean can be contacted via phone (712) 476-8100.

Contact Information

Primary practice address
2121 Hegg Dr Rock Valley IA 51247-1445
Phone: (712) 476-8100
Fax: (712) 476-8190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3093 Iowa

Profile Details

NPI number 1538151287
LBN Legal business name Kamstra, Bradley Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated May 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538151287 NPPES
Iowa MEDICAID 1163311

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