Basic Information
| Provider Information | |||||||||
| NPI: | 1518065804 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAPFER | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | BLANK CHILDREN'S PEDIATRIC SURGERY | ||||||||
| Address2: | 1206 PLEASANT STREET | ||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152416546 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | BLANK CHILDREN'S PEDIATRIC SURGERY | ||||||||
| Address2: | 1206 PLEASANT STREET | ||||||||
| City: | DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 50309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5152416546 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 01/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 0101240443 | VA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0120X | 0101240443 | VA | Y | Allopathic & Osteopathic Physicians | Surgery | Pediatric Surgery |
No ID Information.