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Individual

KELLIE K GOODING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-0269
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9300
(304) 429-6741
(304) 429-0269

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
18972
WV
2085R0202X
Diagnostic Radiology Physician
Primary
18972
WV

Other

Enumeration date
07/16/2006
Last updated
07/18/2007
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