Child Psychiatry Associates Pc | |
939 Office Park Rd Ste 200 West Des Moines IA 50265-2505 | |
(515) 288-5570 | |
(515) 440-3388 |
Full Name | Child Psychiatry Associates Pc |
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Speciality | Psychiatry & Neurology |
Location | 939 Office Park Rd, West Des Moines, Iowa |
Authorized Official Name and Position | Kent E Kunze (PRESIDENT AND MD) |
Authorized Official Contact | 5152885570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Child Psychiatry Associates Pc 939 Office Park Rd Ste 200 West Des Moines IA 50265-2505 Ph: (515) 288-5570 | Child Psychiatry Associates Pc 939 Office Park Rd Ste 200 West Des Moines IA 50265-2505 Ph: (515) 288-5570 |
NPI Number | 1750329314 |
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Provider Enumeration Date | 06/03/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8921092412 |
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Medicare Enrollment ID | O20040408000806 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750329314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
Provider Name | Kathryn C Stoner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124055660 PECOS PAC ID: 8527033877 Enrollment ID: I20040830000903 |
Provider Name | Donner Dewdney |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215964796 PECOS PAC ID: 5890789390 Enrollment ID: I20041108001249 |
Provider Name | Kent E Kunze |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1841220290 PECOS PAC ID: 4082608583 Enrollment ID: I20050118000367 |
Provider Name | Diane E Palmer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811078157 PECOS PAC ID: 1850484858 Enrollment ID: I20070907000128 |
Provider Name | Thomas S Hopkins |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922144088 PECOS PAC ID: 9436297983 Enrollment ID: I20091104000060 |
Provider Name | Sheila M Pottebaum |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881619229 PECOS PAC ID: 2264556208 Enrollment ID: I20100827000892 |
Provider Name | Kimberly J Comer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205935046 PECOS PAC ID: 6608118245 Enrollment ID: I20190430001882 |
Provider Name | Molly Ann Marie Bruening |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457975369 PECOS PAC ID: 7113395245 Enrollment ID: I20221122000926 |
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