MR. KIRK D. CONDON (NPI# 1588191290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588191290 |
Entity Type | Individual |
Full Name | MR. KIRK D. CONDON |
Credential | BA, CADC |
Practice Address |
201 South 23rd Fairfield IA 52556 |
Mailing Address |
Po Box 658 Ottumwa IA 52501 |
Practice Telephone | 6414725834 |
Mailing Telephone | 6416836747 |
Mailing Fax Number | 6416836317 |
Enumeration Date | 2017-05-12 |
Last Update Date | 2017-05-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15024 | IA | Behavioral Health & Social Service Providers |
Street Address |
201 SOUTH 23RD |
City | FAIRFIELD |
State | IA |
Zip Code | 52556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
1518000371 | Michael E Holt | Dentist | 106 E Washington, Fairfield, IA 52556 | 2007-02-14 |
Find all providers in zip 52556 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700411386 | Darren Hailey | Counselor | 72 Villa Cir, Fairfield, CA 94533-2523 | 2020-03-04 |
1013567270 | Asia Robinson | Counselor | 1165 Dove Way, Fairfield, CA 94533-2542 | 2019-09-18 |
1689220477 | Carl Leonard Fessenden | Counselor | 1974 Winchester Pl, Fairfield, CA 94533-3618 | 2019-08-16 |
1598262677 | Jason Michael Levline | Counselor | 5266 Charlene Ave, Fairfield, OH 45014-1535 | 2018-04-06 |
1497285084 | Beth A. Bronfman | Counselor | 87 Fairfield Rd, Fairfield, NJ 07004-2546 | 2017-06-15 |
1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
1730639329 | Jonathon Grogan | Counselor | 2480 Hilborn Rd, Fairfield, CA 94534-1856 | 2016-10-07 |
1295119196 | Sara Faye Jones | Counselor | 745 Ohio St Apt 2, Fairfield, CA 94533-6222 | 2015-07-10 |
1205242583 | Amy Lynn Davis | Counselor | 620 Julmar Cir, Fairfield, CA 94534-4214 | 2014-07-07 |
1174947915 | Diana Kral | Counselor | 59 Sherman Street, Fairfield, CT 06824-5821 | 2014-02-14 |
Find all providers in FAIRFIELD |
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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.