# MS. KATHY L GOLDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1376613091
- **Gender:** F
- **Credential:** BA, AC-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 09/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0603031-01 | CHI CASE MANAGER NUMBER | FL |
| 05 | — | 762004700 | — | FL |