Individual
KODY GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 ROSEMAR RD, PARKERSBURG, WV 26104-7657
(304) 494-1742
Mailing address
25 MADISON AVE, VIENNA, WV 26105-8085
(304) 679-2492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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