Individual provider · Type 1 NPI

Keeley Jahansouz

Student in an Organized Health Care Education/Training Program · Des Moines, IA

NPI number 1720945215 Active

Practice location

3200 Grand Ave
Des Moines, IA 50312-4104

Mailing address

1316 S Radley St
West Des Moines, IA 50266-6783

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720945215

Keeley Jahansouz's National Provider Identifier is 1720945215, issued on Jan 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Des Moines, IA. The record was last updated on Jan 6, 2026.