License holder summary

Kimberly Anne Boddicker is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Kimberly Anne Boddicker is Essentia Health St. Mary's Duluth Clinic, c/o Lynette Tahtinen, Credentialing, Duluth, MN 55805. This doctor license is current. The license was granted 05/07/2005 and expired on 07/31/2015.

Department of Safety and Professional Services

Board of Medical Practice

Kimberly Anne Boddicker
Medical - Physician And Surgeon
License number
47480
Date granted
05/07/2005
Date expires
07/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
Essentia Health St. Mary's Duluth Clinic, c/o Lynette Tahtinen, Credentialing, Duluth, MN 55805
doctorsminnesota.org
ID 22162080
LAST UPDATED 2024-03-16 10:42:29 UTC

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