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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLIE GOEDKEN DEN HARTOG, PA-C

Active Sole Proprietor

MRS. KELLIE GOEDKEN DEN HARTOG, PA-C is a Family Medicine healthcare provider located in ROCK RAPIDS, Iowa. NPI 1992261002 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROCK RAPIDS, IA

Registration Details

NPI Number
1992261002
Provider Type
Individual
Gender
Female
NPI Issued
Feb 13, 2019 (7.4960720207949 yrs)
Last Updated
Feb 28, 2019
License
095185 (IA)
Sole Proprietor
Yes

Practice Information

Address
1100 S 10TH AVE
ROCK RAPIDS, IA, 512462020
Browse IA providers · Browse ZIP 51246
Phone
7124725399
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in ROCK RAPIDS, IA

Name Credential NPI
DR. BETA JO HAMON MD 1376553040
DR. SRIRANJANI KASINATHAN M.D. 1518040534
DR. DAVID JAMES SPRINGER M.D. 1649353681
DR. CHESTER PENN DE JONG M.D. 1952484909
SARAH JO HEINEN MD 1538697164
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.