Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM K COUNTRYMAN, D.O.
Deactivated Sole ProprietorKIM K COUNTRYMAN, D.O. is a Family Medicine healthcare provider located in WAUKEE, Iowa. NPI 1750382347 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · WAUKEE, IA
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1750382347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2005 (0.63287671232877 yrs)
- Last Updated
- Oct 19, 2022
- Deactivated
- Mar 22, 2006
- License
-
DO-02312 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 NE DARTMOOR DRWAUKEE, IA, 50263Browse IA providers · Browse ZIP 50263
- Phone
- 5158759890
- Fax
- 5158759892
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WAUKEE, IA
| Name | Credential | NPI |
|---|---|---|
| IMAD F FRANCIS | MD | 1396759163 |
| JEFFREY R BRADY | DO | 1467465716 |
| ADAM D KRUSE | DO | 1467525030 |
| JENNA KEMP | M.D. | 1760680235 |
| BRIANNE NICOLE DAY | D.O. | 1225297757 |
| DR. WILLIAM B GOBLE | D.O. | 1063669968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.