Individual provider · Type 1 NPI

Kathryn L. Roggow, PAC

Surgical Physician Assistant · Eagan, MN

NPI number 1447682679 Active

Practice location

2620 Eagan Woods Dr
Eagan, MN 55121-1138

Call (651) 968-5201 Map

Fax (651) 968-5903

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X11534 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1447682679

Kathryn L. Roggow, PAC's National Provider Identifier is 1447682679, issued on Jul 30, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Eagan, MN. The record was last updated on Dec 5, 2025.