Individual
MRS. KATHERINE ANN GOODPASTURE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1620 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 776-1400
(785) 776-7392
Mailing address
1620 CHARLES PL, MANHATTAN, KS 66502-2750
(785) 776-1400
(785) 776-7392
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05-36671
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2009
Last updated
07/16/2013
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