Individual
KATHLEEN RILEY GOEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 4TH ST, TWO HARBORS, MN 55616-1200
(218) 834-7200
(218) 834-7220
Mailing address
1010 4TH ST, TWO HARBORS, MN 55616-1200
(218) 834-7200
(218) 834-7220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R049321-9
MN
Other
Enumeration date
07/05/2006
Last updated
03/17/2008
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