Kaye M. Grossnickle, LLC

NPI #1992905780 in Fort Dodge, Iowa

Provider Information

NPI Number
1992905780
Entity Type
Organization
Organization Name
Kaye M. Grossnickle, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 20, 2007
Last Updated
Jan 3, 2008

Practice Location

Address
809 CENTRAL AVE
Address 2
SUITE 420
State
Iowa
ZIP Code
50501-3936
Phone
(515) 955-1836

Authorized Official

Name
MS. KAYE GROSSNICKLE, ARNP
Title
PRESIDENT
Phone
(515) 955-1836

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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