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Contact Information

KAITLIN A GOFORTH, PA-C
404 W FOUNTAIN ST
ALBERT LEA, MN56007-2437
 Phone: 507-360-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KAITLIN A GOFORTH · (Female)

NPI # 1538520341
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/08/2016
Last updated 09/28/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM - ALBERT LEA - (Acute Care)
    404 WEST FOUNTAIN STREET
    ALBERT LEA, MN 56007
  • MAYO CLINIC HEALTH SYSTEM - MANKATO - (Acute Care)
    1025 MARSH STREET
    MANKATO, MN 56001
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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