Katelyn Jo Dahedl
Katelyn Jo Dahedl is a Physician Assistant in Red Lake, Minnesota. Qualified in 2020, 6 years ago. Practices with Phs Indian Hospital, a 21-clinician group and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2020
Practice location Address checks out
24760 Hospital DrRed Lake, MN 56671
Phone: (218) 679-3912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1518587393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 21, 2020 |
| Last updated in NPPES | November 23, 2021 |
| Certification date | November 23, 2021 |
| Mailing address | Po Box 497, Redlake, MN 56671-0497 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Phs Indian Hospital — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |