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Contact Information

KATELYN R GOOD, MD
5 BUCKNAM RD STE 2B
PORTLAND, ME04105-1209
 Phone: 207-781-1600
 Fax: 207-781-1507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATELYN R GOOD · (Female)

NPI # 1912311259
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2014
Last updated 04/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 147791
  • IL License # 036.146126
  • IL License # 125064614
  • IL License # MD27270
  • ME License # MD27270
  • AK Medicaid 1697207
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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