Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD171882 | OR |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD-45087 | IA |
N | 207VG0400X | Gynecologist | MD-45087 | IA |
NPI | 1407168305 |
---|---|
Provider Name | Dr. Kimberly A Kenne |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 11/02/2021 |