KAYE M. GROSSNICKLE, LLC

FORT DODGE, IA
NPI1992905780
Other NameLINCOLN MENTAL HEALTH
Entity TypeOrganization
Authorized ContactKAYE GROSSNICKLE
President
515-955-1836
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A063458)
Enumeration Date2007-07-20
Last Update Date2008-01-03
Business Address
KAYE M. GROSSNICKLE, LLC
809 CENTRAL AVE SUITE 420
FORT DODGE, IA 50501-3936
Phone number: 515-955-1836
Mailing Address
KAYE M. GROSSNICKLE, LLC
PO BOX 261
FORT DODGE, IA 50501-0261
Phone number: 515-955-1836