Search › Iowa › 207Q00000X
Kim Countryman, D.O
NPI 1750382347 · on the registry since 2005 · sole proprietor
Practice
- Address
- 120 Ne Dartmoor Dr
Waukee, IA 50263 - Phone
- (515) 875-9890
- Fax
- (515) 875-9892
- Organisation at this address
- Country Clinic Medical Services Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa