Individual
MRS. KELLY EH GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, YAWKEY 7B, BOSTON, MA 02114-2621
(617) 724-4000
(617) 643-0678
Mailing address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL YAWKEY 7B, BOSTON, MA 02114-2621
(617) 714-4000
(617) 643-0678
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004713
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2269436
MA
Other
Enumeration date
04/27/2011
Last updated
01/10/2013
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