Den Hartog, Kellie Goedken
Den Hartog, Kellie Goedken is an sole proprietor health care provider with primary practice located at 1100 S 10Th Ave , Rock Rapids IA 51246-2020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Den Hartog, Kellie Goedken can be contacted via phone (712) 472-5399.Contact Information
Primary practice address
1100 S 10Th Ave
Rock Rapids IA 51246-2020
Phone: (712) 472-5399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 095185 | Iowa |
Profile Details
| NPI number | 1992261002 |
|---|---|
| LBN Legal business name | Den Hartog, Kellie Goedken |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2019 |
| Last updated | Feb 28th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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