Provider Demographics
NPI:1437118064
Name:KOUNKEL, VALERIE KAY (DO)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:KAY
Last Name:KOUNKEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 WESTOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-1542
Mailing Address - Country:US
Mailing Address - Phone:515-225-2566
Mailing Address - Fax:515-225-2425
Practice Address - Street 1:2101 WESTOWN PKWY
Practice Address - Street 2:SUITE 2
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-1542
Practice Address - Country:US
Practice Address - Phone:515-225-2566
Practice Address - Fax:515-225-2425
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA3384207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA2238311Medicaid
IAH22004Medicare UPIN
IA2238311Medicaid