Kathleen Gradoville in Des Moines - Pediatrics
Kathleen Gradoville - NPI 1285626390
Kathleen Gradoville is a Pediatrics in Des Moines, Iowa. Kathleen Gradoville practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen Gradoville is 1285626390. The last update date is 2011-11-18.
Kathleen Gradoville's current location address is 1212 Pleasant St, Des Moines, Iowa. You can contact this provider via phone number 5152416548 and fax number 5152418789. The mailing address for Kathleen Gradoville is 1212 Pleasant St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Gradoville |
|---|---|
| Address | 1212 Pleasant St, Des Moines, Iowa |
| Phone Number | 5152416548 |
| Fax Number | 5152418789 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1285626390 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2011-11-18 |
Provider Mailing Address Detail
| Address | 1212 Pleasant St |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503091453 |
| Phone Number | 5152416548 |
| Fax Number | 5152418789 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | C81143 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285626390 | MO | -- | |
| 17515013 | IA | MEDICARE | |
| 1285626390 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathleen Gradoville by the Centers for Medicare & Medicaid Services?
The Kathleen Gradoville has been issued the NPI (National Provider Identifier) 1285626390, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kathleen Gradoville?
The Kathleen Gradoville is situated at 1212 Pleasant St, in the city of Des Moines, state of IA, with the zip code 503091453.
What is Kathleen Gradoville's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Gradoville is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1285626390 to Kathleen Gradoville?
The Centers for Medicare & Medicaid Services originally issued the 1285626390 to Kathleen Gradoville on 2005-08-16.
When was the information regarding Kathleen Gradoville most recently updated?
The details pertaining to the Kathleen Gradoville, including its address, specialty, and other relevant information, were last refreshed on 2011-11-18.