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FIAT FAMILY MEDICINE NPI 1194238535


NPI Information

NPI: 1194238535
Provider Name: FIAT FAMILY MEDICINE

Former Legal Business Name: KETTMAN PRANGER FAMILY MEDICINE, PLLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2008105

Address:
220 SOUTHBROOKE DR
WATERLOO, IA
ZIP 50702
Phone: (319) 236-7751
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FIAT FAMILY MEDICINE is a family medicine in Waterloo, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FIAT FAMILY MEDICINE NPI is 1194238535. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kettman Pranger Family Medicine, Pllc.

The provider's business location address is:

220 SOUTHBROOKE DR
WATERLOO, IA
ZIP 50702-802
Phone: (319) 236-7751
Fax: (319) 236-7753

The provider's authorized official is Robert Stephen Pranger .
The authorized official title is Physician and has the following contact phone number (319) 236-7751.

The CLIA number assigned to this NPI record is 16D2008105 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD34769IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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