Provider Demographics
NPI:1699407924
Name:HUYSER, KENZIE LEANNE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KENZIE
Middle Name:LEANNE
Last Name:HUYSER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:GRINNELL
Mailing Address - State:IA
Mailing Address - Zip Code:50112-1980
Mailing Address - Country:US
Mailing Address - Phone:641-236-7524
Mailing Address - Fax:641-236-7944
Practice Address - Street 1:217 4TH AVE W
Practice Address - Street 2:
Practice Address - City:GRINNELL
Practice Address - State:IA
Practice Address - Zip Code:50112-1980
Practice Address - Country:US
Practice Address - Phone:641-236-7524
Practice Address - Fax:641-236-7944
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA169485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily