Most Relevant Information
Provider Data
| NPI Number: | 1003295056 |
| Provider Name: | KIMBERLY JEAN LUDWIG LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | P52457 |
Most Important Dates
| Enumeration Date: | 05/22/2015 |
| Last Updated: | 05/22/2015 |
Provider Practice Location
1002 W WASHINGTON AVE
POLK CITY
IA
502262132
Practice Location Phone/Fax
| Phone: | 5154906130 |
| Fax: |
Provider Mailing Location
2214 NW 2ND ST
ANKENY
IA
500231304
Provider Mailing Phone/Fax
| Phone: | 5154906130 |
| Fax: |