National Provider Identifier Database

KIMBERLY A BODDICKER, MD – NPI #1821037946
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

KIMBERLY A BODDICKER, MD
400 E 3RD ST
DULUTH, MN55805-1951
Phone: 218-786-3443
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY A BODDICKER

NPI Number 1821037946
Credentials MD
Entity Individual
Enumeration date 06/05/2006
Last updated 12/09/2020 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 47480
  • ND License #: 16931
  • WI License #: 47894-20
  • MN Medicaid: 933138700
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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