NPI | 1891833877 |
---|---|
Doing Business As | KINGSLEY MERCY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | BRIAN K. MONSMA Network Executive Director 712-279-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207Q00000X Family Medicine |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2025-09-11 |