Individual
KATHLEEN MARIE GOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 JERSEY RIDGE RD, DAVENPORT, IA 52803-3730
(563) 323-6231
Mailing address
1120 JERSEY RIDGE RD, DAVENPORT, IA 52803-3730
(563) 323-6231
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
50006331
IA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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