KEVIN LEE DENCKLAU

FORT DODGE, IA
NPI1619661790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IA  702XX8341)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
KEVIN LEE DENCKLAU
1044 N 31ST PL
FORT DODGE, IA 50501-2920
Phone number: 515-408-8647
Mailing Address
KEVIN LEE DENCKLAU
1044 N 31ST PL
FORT DODGE, IA 50501-2920
Phone number: 515-408-8647