Thomas K Koithan Pc | |
495 S 51st St Unit 40 West Des Moines IA 50265-6988 | |
(515) 883-0783 | |
Not Available |
Full Name | Thomas K Koithan Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 495 S 51st St Unit 40, West Des Moines, Iowa |
Authorized Official Name and Position | Thomas Kirby Koithan (PRESIDENT) |
Authorized Official Contact | 5158830783 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thomas K Koithan Pc 495 S 51st St Unit 40 West Des Moines IA 50265-6988 Ph: (515) 883-0783 | Thomas K Koithan Pc 495 S 51st St Unit 40 West Des Moines IA 50265-6988 Ph: (515) 883-0783 |
NPI Number | 1821229519 |
---|---|
Provider Enumeration Date | 07/29/2009 |
Last Update Date | 07/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821229519 | NPI | - | NPPES |
I4144 | Medicaid | IA | |
1235194143 | Other | IA | INDIVDUAL NPI |
0106294 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 02799 (Iowa) | Primary |
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