Individual
KATHY ANN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4206 DANTZLER ST, MOSS POINT, MS 39563-2218
(228) 623-2303
(228) 475-1976
Mailing address
4206 DANTZLER ST, MOSS POINT, MS 39563-2218
(228) 623-2303
(228) 475-1976
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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