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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTY LOVE GOODWIN-FULLER

Active Sole Proprietor

KRISTY LOVE GOODWIN-FULLER is a Bus healthcare provider located in GLOSTER, Louisiana. NPI 1801319876 is currently active in the NPPES registry. Verify at CMS.

Bus · GLOSTER, LA

Registration Details

NPI Number
1801319876
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2017 (8.9228738258509 yrs)
Last Updated
Jul 21, 2022
Sole Proprietor
Yes

Practice Information

Address
118 SINCLAIR LN
GLOSTER, LA, 710303028
Browse LA providers · Browse ZIP 71030
Phone
3189338422
Fax
3189338415
Primary Specialty
Bus
343900000X
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.