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1205879996
KEVIN C MASSICK
DES MOINES, IA
NPI
1205879996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 25510)
Enumeration Date
2006-06-13
Last Update Date
2007-07-08
Business Address
Dr. KEVIN C MASSICK M.D.
3600 30TH ST
DES MOINES, IA 50310-5753
Phone number: 515-699-5999
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Mailing Address
Dr. KEVIN C MASSICK M.D.
3600 30TH ST
DES MOINES, IA 50310-5876
Phone number: 515-699-5999
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