Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | F-106347 | IA |
NPI | 1013268390 |
---|---|
Provider Name | Kelsey Marie Barber |
First Address | Des Moines, IA 50305-1475 |
Second Address | Des Moines, IA 50314-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2012 |
Last Update Date | 26/09/2012 |