# KATHLEEN F. GOODMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821063231
- **Gender:** F
- **Credential:** OGNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 800006 | NC | Yes |

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 02/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0701260 | UNITED HEALTHCARE NUMBER | NC |
| 01 | — | 500028144 | RAILROAD MEDICARE NUMBER | NC |
| 01 | — | C3242 | MEDCOST NUMBER | NC |