Search › Iowa › 1041C0700X
Kimberly Tallon
NPI 1740679745 · on the registry since 2015
Practice
- Address
- 3375 Lake Ridge Dr
Dubuque, IA 52003 - Phone
- (563) 207-8932
- Organisation at this address
- Statera Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 126 E Chestnut St, Chicago, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
1041C0700X - Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa