Kale Stephen Bongers, MD
Internal Medicine, Pulmonary Disease in Iowa City, IA. Individual provider (NPI-1).
NPI number1467809293
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1467809293
- Entity type
- Individual (NPI-1)
- Name
- Kale Stephen Bongers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2016
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | MD-52829 | IA | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 4301117077 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301117077 | MI | |
| 207R00000X | Internal Medicine | MD-52829 | IA | |
| 207R00000X | Internal Medicine | 4301117077 | MI | |
| 207RC0200X | Internal Medicine, Critical Care Medicine | MD-52829 | IA |
Practice location
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-356-8133 · Fax 319-384-8680
Mailing address
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-356-8133 · Fax 319-384-8680
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