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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEOTA FAMILY PRACTICE

Active Organization

Family Nurse Practitioner · KEOTA, IA

Registration Details

NPI Number
1003628751
Provider Type
Organization
NPI Issued
Jan 21, 2025 (1.2907693061754 yrs)
Last Updated
Oct 24, 2025

Practice Information

Address
302 E BROADWAY AVE
KEOTA, IA, 522489402
Browse IA providers · Browse ZIP 52248
Phone
3193837044
Fax
8337403624
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.