| Doctor Name: | MRS. KATHERINE ANN BLOMGREN |
| NPI Number: | 1043441264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | |
| Business Practice Address: | 22 N 27th St Fort Dodge, IA - 505014331 |
| Business Phone Number: | 5159554440 |
| Business Fax Number: | 5159554449 |
| Mailing Address: | 22 N 27th St, FORT DODGE |
| State: | IA |
| Postal Code: | 505014331 |
| Phone Number: | 5159554440 |
| Fax Number: | 5159554449 |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |