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Contact Information

KILEY N GOODEN, PA-C
210 ASHVILLE AVE
CARY, NC27518-6676
 Phone: 919-350-7331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KILEY N GOODEN · (Female)

NPI # 1760059661
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/08/2021
Last updated 10/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-12095
  • NC Medicaid 1760059661
Hospital affiliation(s) Not Available
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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