Kiester, Jerry D.

Kiester, Jerry D. is an sole proprietor health care provider with primary practice located at 3812 Douglas Ave , Des Moines IA 50310-3651. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Kiester, Jerry D. can be contacted via phone (515) 255-5197.

Contact Information

Primary practice address
3812 Douglas Ave Des Moines IA 50310-3651
Phone: (515) 255-5197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 4 Northern Mariana Islands

Profile Details

NPI number 1871665539
LBN Legal business name Kiester, Jerry D.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871665539 NPPES
Iowa MEDICAID 0165670

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