MR. Kevin J. Prater, PA-C

NPI #1194706176 in West Des Moines, Iowa

Provider Information

NPI Number: 1194706176
Entity Type: Individual
Name: MR. Kevin J. Prater, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 8, 2005
Last Updated: Jun 8, 2015

Practice Location

Address: 105 VALLEY WEST DR
Address 2: SUITE 100
City: West Des Moines
State: Iowa
ZIP Code: 50265-3902
Phone: (515) 223-4368

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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