SearchIowa106S00000X

Kalissa Smiddy

NPI 1992624100 · on the registry since 2026

Practice

Address
4959 Utica Ridge Rd
Davenport, IA 52807
Phone
(563) 362-9631
Clinicians at this address
33

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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