Pomerenke, Kelly Scott
Pomerenke, Kelly Scott is an individual health care provider with primary practice located at 240 N Rerick Ave , Primghar IA 51245-7786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pomerenke, Kelly Scott can be contacted via phone (712) 957-2310.Contact Information
Primary practice address
240 N Rerick Ave
Primghar IA 51245-7786
Phone: (712) 957-2310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27695 | Iowa |
Profile Details
| NPI number | 1205826641 |
|---|---|
| LBN Legal business name | Pomerenke, Kelly Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 22nd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205826641 | NPPES |
| Iowa | MEDICAID | 1057729 |
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