Ottervanger, Kiley
Ottervanger, Kiley is an individual health care provider with primary practice located at 6000 University Ave Ste 100 , West Des Moines IA 50266-8200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ottervanger, Kiley can be contacted via phone (515) 241-2500.Contact Information
Primary practice address
6000 University Ave Ste 100
West Des Moines IA 50266-8200
Phone: (515) 241-2500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R-9571 | Iowa |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | DO-04638 | Iowa |
Profile Details
NPI number | 1942564745 |
---|---|
LBN Legal business name | Ottervanger, Kiley |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2012 |
Last updated | Mar 26th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942564745 | NPPES |
Iowa | MEDICAID | 1942564745 |
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