KATHRYN ANNE KVEDERIS (NPI# 1104032002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104032002 |
| Entity Type | Individual |
| Full Name | KATHRYN ANNE KVEDERIS |
| Credential | M.D. |
| Practice Address |
3105 Druid Hill Dr Des Moines IA 50315-2122 |
| Practice Telephone | 5154578030 |
| Practice Fax Number | 5152442507 |
| Mailing Telephone | 5154578030 |
| Mailing Fax Number | 5152442507 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
2005-0425 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G54607 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
30740 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3105 DRUID HILL DR |
| City | DES MOINES |
| State | IA |
| Zip Code | 50315-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326580606 | Stacie Brown | Specialist/Technologist | 1201 Herold Ave, Des Moines, IA 50315 | 2016-11-17 |
| 1245581560 | Stroke Detections Plus, Inc. | Early Intervention Provider Agency | 2407 Sw 9th Street, Des Moines, IA 50315 | 2012-09-26 |
| 1922371533 | Ronald D. Sanford | Durable Medical Equipment & Medical Supplies | 1920-s.w. Frazier, Des Moines, IA 50315 | 2012-02-13 |
| 1811155203 | Katherine M Schultz | Occupational Therapy Assistant | 4911 Sw 19th, Des Moines, IA 50315 | 2008-06-02 |
| 1255599635 | Lisa Kaye Malsom | Physical Therapist | 4911 Sw 19th Street, Des Moines, IA 50315 | 2008-06-02 |
| 1346445350 | Herbert Lawrence Notch | Psychologist | 7510 Sw 9th, Des Moines, IA 50315 | 2007-06-19 |
| 1881749893 | Emergency Dental Care Usa | Dentist | 4409 Sw 9th St, Des Moines, IA 50315 | 2007-01-23 |
| 1114947132 | Richard Alan Lyman | Dentist | 6100 Sw 9th St, Des Moines, IA 50315 | 2006-07-20 |
| 1487603684 | Eye Care of Iowa PC | Optometrist | 200 Army Post Rd, Des Moines, IA 50315 | 2006-05-08 |
| 1437115920 | Hearing Aid Centers Inc. | Hearing Aid Equipment | 1219 Sw Army Post Rd, Des Moines, IA 50315 | 2006-04-24 |
| Find all providers in zip 50315 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623784 | Renuka Velisetty | Psychiatry & Neurology | 411 Laurel St Ste 3310, Des Moines, IA 50314-3027 | 2013-04-09 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1073870226 | Teresa Marie Dolphin-shaw | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2012-04-12 |
| 1699850305 | Lynn Mousel | Psychiatry & Neurology | 925 Porter Ave, Des Moines, IA 50315-7235 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053627182 | Neuropsychiatric Medicine Clinic Pllc | Psychiatry & Neurology | 511 S 3rd St, Clinton, IA 52732-4357 | 2010-08-26 |
| 1922182849 | Harry William Fischer | Psychiatry & Neurology | 17752 Chariot Rd, Elkader, IA 52043-8136 | 2006-10-25 |
| 1750329314 | Child Psychiatry Associates PC | Psychiatry & Neurology | 939 Office Park Rd, Ste 200, West Des Moines, IA 50265-2505 | 2006-06-03 |
| 1336116953 | Suzanne Brown Henry | Psychiatry & Neurology | 2593 Holiday Rd, Coralville, IA 52241 | 2006-03-02 |
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1477045797 | Chantal Julitta Rozmus | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-01 |
| 1972739894 | Amanda Courtney Elliott | Psychiatry & Neurology | 200 Hawkins Dr, Department of Psychiatry - 1870 Jpp, Iowa City, IA 52242-1009 | 2009-06-05 |
| 1649405879 | Brady Bradshaw | Psychiatry & Neurology | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2009-05-18 |
| 1497964209 | Susan Pike | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-21 |
| 1760694939 | Deanna Book Boesen Md PC | Psychiatry & Neurology | 3408 Woodland Ave, Suite 502, West Des Moines, IA 50266-6506 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50315 |
Please comment or provide details below to improve the information on KATHRYN ANNE KVEDERIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.