Individual
WESLEY GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1246
(816) 404-4862
(816) 404-7716
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1246
(816) 404-4862
(816) 404-7716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023014387
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/03/2021
Last updated
05/30/2023
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