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1417902909
TIMOTHY E KINKADE
PELLA, IA
NPI
1417902909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IA 058017)
Enumeration Date
2006-05-23
Last Update Date
2012-05-02
Business Address
-- TIMOTHY E KINKADE CRNA
404 JEFFERSON ST
PELLA, IA 50219-1257
Phone number: 641-628-6634
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Mailing Address
-- TIMOTHY E KINKADE CRNA
8900 INDIAN CREEK PKWY SUITE 500
OVERLAND PARK, KS 66210-1554
Phone number: 913-642-4900
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