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Individual
DR. KATHLEEN GODFREY
Active
Individual
DR. KATHLEEN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
TP001141J
PA
363LP0200X
Pediatric Nurse Practitioner
TP005784D
PA
Other
Enumeration date
02/02/2011
Last updated
04/04/2014
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