Individual
MRS. KATHLEEN CORCORAN GOETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
8335 WALNUT HILL LN STE 220, DALLAS, TX 75231-4204
(214) 696-0222
Mailing address
8335 WALNUT HILL LN STE 220, DALLAS, TX 75231-4204
(214) 696-0222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
655379
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP109132
TX
Other
Enumeration date
05/22/2007
Last updated
01/13/2022
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