KIM K COUNTRYMAN D.O.
NPI 1750382347
Family Medicine in Waukee, IA

Q: What is Kim Countryman's NPI number?

The NPI number for Kim Countryman is 1750382347. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Q: What is Kim Countryman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Countryman was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2005

120 NE DARTMOOR DR, WAUKEE, IA 50263(515) 875-9890(515) 875-9892 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2022, Aug 17, 2021, Jun 21, 2018 and 1 more (4 updates tracked since 2017).

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About Kim K Countryman D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM K COUNTRYMAN D.O. (NPI 1750382347) is an individual family medicine provider in Waukee, Iowa, licensed in Iowa (DO-02312) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1750382347

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKIM K COUNTRYMANCredential: D.O.

Location Address120 NE DARTMOOR DRWaukee, IA 50263

Mailing Address7147 Vista Dr Ste 150West Des Moines, IA 50266-9313 · (515) 875-9925 · Fax (515) 875-9923

Phone(515) 875-9890

Fax(515) 875-9892

Sole ProprietorYes

Enumeration DateAugust 3, 2005

Last NPPES UpdateOctober 19, 20224 updates tracked since enumeration

NPPES CertifiedOctober 19, 2022

✔ NPI 1750382347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · DO-02312

Definition

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.

120 NE DARTMOOR DR, Waukee, IA 50263

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Other Identifiers 2

Medicaid1043646IA

Other59276IN · Wellmark Bcbs

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTRY CLINIC MEDICAL SERVICES INC

Family Medicine

120 NE DARTMOOR DR
WAUKEE, IA 50263

Dallas County (515) 987-3117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Countryman's NPI number?

The NPI number for Kim Countryman is 1750382347. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Kim Countryman located?

Kim Countryman practices at 120 NE Dartmoor Dr, Waukee, IA 50263. The listed phone number is (515) 875-9890.

What is Kim Countryman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kim Countryman was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.