# KELLY GOODMAN NP & ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740503689
- **Authorized official:** KELLY ANN GOODMAN NP (OWNER)
- **Authorized official phone:** (202) 684-7167

## Contact information

- **Practice address:** 4701 SANGAMORE ROAD, SUITE S207, BETHESDA, MD 20816-2529
- **Practice address phone:** (202) 684-7167
- **Practice address fax:** (240) 483-0441
- **Mailing address:** 4701 SANGAMORE ROAD, SUITE S207, BETHESDA, MD 20816-2529
- **Mailing address phone:** (202) 684-7167
- **Mailing address fax:** (240) 483-0441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | R156558 | MD | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2010
- **Last updated:** 07/14/2025