Individual
DR. KELLY J. GOEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5565 HIGHWAY 210, CROMWELL, MN 55726-8171
(320) 245-2250
(320) 245-2555
Mailing address
PO BOX 116, CROMWELL, MN 55726-0116
(320) 245-2250
(320) 245-2555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40702
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
695715300
—
MN
Enumeration date
05/27/2005
Last updated
06/21/2017
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