Dr. Kevin Pothoven
Emergency Medical Services
1111 6th Ave
Des Moines
, Iowa 50314-2613
Dr. Kevin Pothoven
Emergency Medical Services
1111 6th Ave
Des Moines
, Iowa 50314-2613
(515) 643-2784
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Dr. Kevin Pothoven
- Po Box 4925
- Des Moines, IA
- Zip : 50305-4925
- Fax : (515) 643-2784
- Phone : (515) 643-4374
Second Address
- Dr. Kevin Pothoven
- 1111 6th Ave
- Des Moines, IA
- Zip : 50314-2613
- Fax : (515) 643-8722
- Phone : (515) 247-3211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4301078608 | MI |
National Provider Identifier
| NPI | 1053368498 |
|---|---|
| Provider Name | Dr. Kevin Pothoven |
| First Address | Des Moines, IA 50305-4925 |
| Second Address | Des Moines, IA 50314-2613 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2006 |
| Last Update Date | 09/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06127 | BC/BS OF IOWA (01) | IA |
| 104631572 | (05) | MI |
| 104703457 | (05) | MI |
| I16220 | (02) | MI |
| KP078608 | BC/BS OF MICHIGAN (01) | MI |
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.