Kenneth L Dodge is a Clinical in Des Moines, Iowa. Kenneth L Dodge practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth L Dodge is 1942289152. The last update date is 2007-07-08.
Kenneth L Dodge's current location address is 118 Water St, Des Moines, Iowa. You can contact this provider via phone number 5152442541. The mailing address for Kenneth L Dodge is 118 Water St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth L Dodge |
|---|---|
| Address | 118 Water St, Des Moines, Iowa |
| Phone Number | 5152442541 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1942289152 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 Water St |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503094779 |
| Phone Number | 5152442541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 873 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33402 | IA | BLUE SHIELD OF IOWA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth L Dodge?
The Kenneth L Dodge has been issued the NPI (National Provider Identifier) 1942289152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth L Dodge's facilities are geographically located?
The facilities of Kenneth L Dodge are physically situated at the following location: 118 Water St, Des Moines, IA, 503094779.
What is Kenneth L Dodge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenneth L Dodge is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
When was the Kenneth L Dodge's 1942289152 issued?
The Kenneth L Dodge's 1942289152 was issued on 2006-01-16.
When was the information pertaining to Kenneth L Dodge most recently updated or revised?
The details related to Kenneth L Dodge, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.