Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY L GOODRICH, RN
Active Sole ProprietorRegistered Nurse · OREGON, WI
Registration Details
- NPI Number
- 1508988171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.08891676703 yrs)
- Last Updated
- Feb 5, 2025
- Licenses
-
150754-030 (WI)150754-030 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
660 S MAIN STOREGON, WI, 535753647Browse WI providers · Browse ZIP 53575
- Phone
- 6083339160
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Registered Nurse
Other Registered Nurse Providers in OREGON, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. JAIME JO CHMIELEWSKI | R.N. | 1073574323 |
| MARY K LEASE | RN | 1881655355 |
| GLENNA BENJAMIN | RN | 1912052366 |
| MRS. SUSAN CARROLL URBAN | R.N. | 1508089715 |
| COLLEEN A DUCKWITZ | — | 1215184965 |
| ROXANNE BUTTERFIELD | RN | 1053627059 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.