| 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 | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |