Individual
LINDA M GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
7306 E NORFOLK DR, WICHITA, KS 67206-2110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25859
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041771
BCBS
KS
01
—
100213
HPK
KS
05
—
100258080
—
KS
01
—
10384
PHS
KS
01
—
12149425
MULTIPLAN
KS
01
—
17006
COVENTRY
KS
Enumeration date
06/27/2006
Last updated
09/29/2020
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