# MRS. KELLY L GOODMAN-O'LEARY

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

## Provider details

- **NPI number:** 1922761741
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 026.0154533 | VT | — |
| 163W00000X | Registered Nurse | RN721550 | PA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 101.0137717 | VT | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | SP024574 | PA | — |

## Other

- **Enumeration date:** 10/19/2021
- **Last updated:** 10/09/2026