KELLIE GOEDKEN DEN HARTOG

ROCK RAPIDS, IA
NPI1992261002
Former NameKELLIE ANN GOEDKEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  095185)
Enumeration Date2019-02-13
Last Update Date2019-02-28
Business Address
Mrs. KELLIE GOEDKEN DEN HARTOG PA-C
1100 S 10TH AVE
ROCK RAPIDS, IA 51246-2020
Phone number: 712-472-5399
Mailing Address
Mrs. KELLIE GOEDKEN DEN HARTOG PA-C
1363 HIGHWAY 9 APT 5
LARCHWOOD, IA 51241-7585
Phone number: 712-348-3341