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Contact Information

KATHLEEN M GOODWORTH
1120 JERSEY RIDGE RD
DAVENPORT, IA52803-3730
 Phone: 563-323-6231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for KATHLEEN M GOODWORTH · (Female)

NPI # 1235088733
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2026
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 50006331
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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