Provider Demographics
NPI:1750582284
Name:KAYSER, DEAN JOEL (AUD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:JOEL
Last Name:KAYSER
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3529 E 26TH ST
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-4201
Mailing Address - Country:US
Mailing Address - Phone:515-264-8416
Mailing Address - Fax:515-264-8478
Practice Address - Street 1:3529 E 26TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-4201
Practice Address - Country:US
Practice Address - Phone:515-264-8416
Practice Address - Fax:515-264-8478
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA166231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist