Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RAE GOODWIN, APRN
Active Sole ProprietorKELLY RAE GOODWIN, APRN is a Primary Care Nurse Practitioner healthcare provider located in CHOCTAW, Oklahoma. NPI 1841761798 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · CHOCTAW, OK
Registration Details
- NPI Number
- 1841761798
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2018 (7.6128091430909 yrs)
- Last Updated
- Mar 29, 2022
- License
-
AG12180060 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14543 LARRY STCHOCTAW, OK, 730208569Browse OK providers · Browse ZIP 73020
- Phone
- 4055689165
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
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.