KELLIE G DEN HARTOG

AVERA MCKENNAN

Dr KELLIE G DEN HARTOG is a female medical professional, specializing in Physician Assistant. She graduated in 2018.

Contact

AVERA MCKENNAN

826 N 8 ST
ESTHERVILLE
IA
513341528

Tel: 7123622631

KELLIE G DEN HARTOG Information

Npi 1992261002
Pac Id 4082956222
Professional Enrollment Id I20190508002001
Last Name DEN HARTOG
First Name KELLIE
Middle Name G
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AVERA MCKENNAN
Group Practice Pac Id 0345157103
Number Of Group Practice Members 656
Line 1 Street Address 826 N 8 ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ESTHERVILLE
State IA
Zip Code 513341528
Phone Number 7123622631
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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