NPI Index

KATHY KHOMMANYVONG, LMSW

Social Worker - Clinical

Active Individual
NPI: 1033250402

Practice Address

720 KENYON RD
NORTH CENTRAL IOWA MHC DBA BERRYHILL CENTER FOR MENTAL
Fort Dodge, IA 50501

Phone: (515) 955-7171

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 03941 (IA)

Frequently Asked Questions

NPI 1033250402 is the National Provider Identifier for KATHY KHOMMANYVONG, LMSW, a Social Worker - Clinical provider located in Fort Dodge, IA. This NPI was enumerated on February 9, 2007.
KATHY KHOMMANYVONG, LMSW practices at 720 KENYON RD, NORTH CENTRAL IOWA MHC DBA BERRYHILL CENTER FOR MENTAL, Fort Dodge, IA 50501.

Quick Facts

NPI
1033250402
Type
Individual
Enumerated
Feb 9, 2007
Last Updated
Feb 9, 2009

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