Dr. Gwen Anne Lovell Kollath
Chiropractor Orthopedic Specialist
5460 Merle Hay Rd Ste G1
Johnston
, Iowa 50131-1239
Dr. Gwen Anne Lovell Kollath
Chiropractor Orthopedic Specialist
5460 Merle Hay Rd Ste G1
Johnston
, Iowa 50131-1239
(515) 267-5167
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About
Features
Specialties
- Chiropractor Orthopedic Specialist
Languages spoken
- English
Location
First Address
- Dr. Gwen Anne Lovell Kollath
- 1612 Northwest Dr
- Des Moines, IA
- Zip : 50310-3850
- Fax : (515) 267-5167
- Phone : (515) 557-0315
Second Address
- Dr. Gwen Anne Lovell Kollath
- 5460 Merle Hay Rd Ste G1
- Johnston, IA
- Zip : 50131-1239
- Phone : (515) 276-5135
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0800X | Chiropractor Orthopedic Specialist | 06787 | IA |
National Provider Identifier
| NPI | 1386780732 |
|---|---|
| Provider Name | Dr. Gwen Anne Lovell Kollath |
| First Address | Des Moines, IA 50310-3850 |
| Second Address | Johnston, IA 50131-1239 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| Last Update Date | 27/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V06641 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.