Kimberly Anne Conrad in Waucoma - School
Kimberly Anne Conrad - NPI 1619054764
Kimberly Anne Conrad is a School in Waucoma, Iowa. Kimberly Anne Conrad practices all healthcare services and medical treatments related to School. The NPI Number for Kimberly Anne Conrad is 1619054764. The last update date is 2007-07-08.
Kimberly Anne Conrad's current location address is 100 1st Ave Sw, Waucoma, Iowa. You can contact this provider via phone number 5637764060 and fax number 5637764061. The mailing address for Kimberly Anne Conrad is 100 1st Ave Sw, Waucoma, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Anne Conrad |
|---|---|
| Address | 100 1st Ave Sw, Waucoma, Iowa |
| Phone Number | 5637764060 |
| Fax Number | 5637764061 |
| Sole Proprietor | Y |
| Credentials | SED |
NPI Number Detail
| NPI Number | 1619054764 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 1st Ave Sw |
|---|---|
| City | Waucoma |
| State | Iowa (IA) |
| Post Code | 521719705 |
| Phone Number | 5637764060 |
| Fax Number | 5637764061 |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 101Ys0200X |
| Licence No | 351029 |
|
Definition: A counselor who works with students in elementary, middle, and high schools. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1012617 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kimberly Anne Conrad by the Centers for Medicare & Medicaid Services?
The Kimberly Anne Conrad has been assigned the NPI (National Provider Identifier) 1619054764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kimberly Anne Conrad's physical address?
The Kimberly Anne Conrad is physically located at 100 1St Ave Sw, in the city of Waucoma, IA, with the postal code 521719705.
What is Kimberly Anne Conrad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kimberly Anne Conrad's specialized field of practice is School, and the corresponding taxonomy code that categorizes this area of specialization is 101Ys0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619054764 to Kimberly Anne Conrad?
The Centers for Medicare & Medicaid Services originally issued the 1619054764 to Kimberly Anne Conrad on 2006-11-01.
When was the Kimberly Anne Conrad's information last updated?
The Kimberly Anne Conrad's information was last updated on 2007-07-08.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO