Kim K Countryman, D.O.

NPI #1750382347 in Waukee, Iowa

Provider Information

NPI Number: 1750382347
Entity Type: Individual
Name: Kim K Countryman, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Aug 3, 2005
Last Updated: Oct 19, 2022

Practice Location

Address: 120 NE DARTMOOR DR
City: Waukee
State: Iowa
ZIP Code: 50263
Phone: (515) 875-9890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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