Search › Iowa › 207Q00000X
Kellie Den Hartog, PA-C
NPI 1992261002 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1100 S 10th Ave
Rock Rapids, IA 51246 - Phone
- (712) 472-5399
- Organisation at this address
- Avera Mckennan
Avera Mckennan
Avera MckennanInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 800 S. Green Street, Rock Rapids, IA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa