Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY R GOODWIN in CHOCTAW, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1841761798 |
|
| Status | Active | |
| Credentials | APRN (Advanced Practice Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 12/17/2018 | |
| Last updated | 03/29/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY R GOODWIN
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KELLY R GOODWIN, APRN