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NPI Code Detail

MEDICARE: LAURA KEK

MEDICARE:   LAURA  KEK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician33358MN
2207R00000XInternal Medicine Physician77574MN
3207RG0100XGastroenterology Physician77574MN

General Provider Information

NPI Number : 1013668656
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KEK
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 1620 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3801
Country : US
Telephone Number : 312-942-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2022
Last Update Date : 04/18/2026

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Directions to “ LAURA KEK ” Practice Location

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