Individual
KINSEY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(919) 363-2111
Mailing address
1592 SALEM VILLAGE DR, APEX, NC 27502-4727
(919) 260-8934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204492
NC
Other
Enumeration date
12/28/2011
Last updated
08/15/2020
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