Ottervanger, Kiley

Ottervanger, Kiley is an individual health care provider with primary practice located at 6000 University Ave Ste 100 , West Des Moines IA 50266-8200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ottervanger, Kiley can be contacted via phone (515) 241-2500.

Contact Information

Primary practice address
6000 University Ave Ste 100 West Des Moines IA 50266-8200
Phone: (515) 241-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R-9571 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO-04638 Iowa

Profile Details

NPI number 1942564745
LBN Legal business name Ottervanger, Kiley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Mar 26th, 2015 - about 11 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 1942564745 NPPES
Iowa MEDICAID 1942564745

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