Kijewski, Vicki Jo

Kijewski, Vicki Jo is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kijewski, Vicki Jo can be contacted via phone (319) 353-8647.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 353-8647
Fax: (319) 356-2587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34242 Iowa
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34242 Iowa

Profile Details

NPI number 1417942178
LBN Legal business name Kijewski, Vicki Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 11th, 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 1417942178 NPPES
Iowa Other 35207 WELLMARK BCBS
Iowa MEDICAID 0295204 WELLMARK BCBS

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