Kimberly Ann Rauk | Alexandria, MN • PECOS Search

Kimberly Ann Rauk

Dentist

Dental Providers

510 22nd Ave E, Suite 601, Alexandria, MN 56308-4653

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Ann Rauk does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1427102722
Provider Type
Individual
Full Name
Rauk, Kimberly Ann
Title
Dr.
Credential
D.D.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/23/2007
Last Updated
7/8/2007

Contact Information

Practice Location

510 22nd Ave E, Suite 601, Alexandria, MN 56308-4653

Unlisted Fax

Mailing Location

510 22nd Ave E, Suite 601, Alexandria, MN 56308-4653

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License D11817 Minnesota