Khan Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1325 Issued in IA

Legal business name

KHAN FAMILY MEDICAL CLINIC

Practice address

2501 Westown Pkwy
Suite 1103
West Des Moines, IA 50266-1438

Phone

(515) 440-3484

Fax

(515) 440-0557

NPI assigned

Feb 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Coleen Kelleher

Title

Compliance Officer

Phone

(515) 226-7423

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1316115876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WESTOWN PKWY",
            "address_2": "SUITE 1103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661438",
            "telephone_number": "515-440-3484",
            "fax_number": "515-440-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WESTOWN PKWY",
            "address_2": "SUITE 1103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661438",
            "telephone_number": "515-440-3484",
            "fax_number": "515-440-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "515-226-7423"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "1325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1185611",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Kennison, LMFT
• Miemie Kephart, PHARMD
• Jeffrey S Kerber, LMFT
• Shawn Michael Kerby, D.D.S.
• Ruaa Khaleefa
• Mahruq Khan, PA-C
• Kevin Kilcawley, PSY.D.
• Kim Comer LLC
• Christopher Kim, B.SC., M.D.
• January J Kim, ARNP

• Family Medicine Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.