MRS. Kellie Goedken Den Hartog, PA-C
NPI #1992261002 in Rock Rapids, Iowa
Provider Information
- NPI Number
- 1992261002
- Entity Type
- Individual
- Name
- MRS. Kellie Goedken Den Hartog, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- PA-C
- Enumeration Date
- Feb 13, 2019
- Last Updated
- Feb 28, 2019
Practice Location
- Address
- 1100 S 10TH AVE
- City
- Rock Rapids
- State
- Iowa
- ZIP Code
- 51246-2020
- Phone
- (712) 472-5399
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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