Provider Demographics
NPI:1174793772
Name:KUEHNER, KATHERYN ANNE (DO)
Entity type:Individual
Prefix:DR
First Name:KATHERYN
Middle Name:ANNE
Last Name:KUEHNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KATHERYN
Other - Middle Name:ANNE
Other - Last Name:HOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:4218 FOSTER DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50312-2542
Mailing Address - Country:US
Mailing Address - Phone:515-559-4383
Mailing Address - Fax:
Practice Address - Street 1:500 E LOCUST ST STE 126
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1955
Practice Address - Country:US
Practice Address - Phone:515-805-0956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3922207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine