Individual
KYLE A HOFFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
Mailing address
1400 JEFFERSON RD, NORTHFIELD, MN 55057-3081
(507) 663-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54136
MN
208600000X
Surgery Physician
54136
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
WI
01
—
P01021790
RAILROAD MEDICARE
MN
Enumeration date
06/25/2010
Last updated
03/22/2021
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