| Doctor Name: | JAMES JEROME KIVLAHAN |
| NPI Number: | 1124015110 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 15750 |
| Business Practice Address: | 825 N 6th St Burlington, IA - 526014920 |
| Business Phone Number: | 3197545004 |
| Business Fax Number: | 3197530921 |
| Mailing Address: | 825 N 6th St, BURLINGTON |
| State: | IA |
| Postal Code: | 526014920 |
| Phone Number: | 3197545004 |
| Fax Number: | 3197530921 |
| NPI Enumeration Date: | 10/04/2005 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15750 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |