Individual provider · Type 1 NPI
Kaitlin A. Goforth, PA-C
Surgical Physician Assistant · Albert Lea, MN
NPI number
1538520341
Active
Practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Mailing address
2187 N Crailsheim Dr
Worthington, MN 56187-1773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1538520341
Kaitlin A. Goforth, PA-C's National Provider Identifier is 1538520341, issued on Mar 8, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albert Lea, MN. The record was last updated on Sep 28, 2020.