Individual
MRS. KELLEY JO GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/FA
Contact information
Practice address
44 FIELDS POND RD, ORRINGTON, ME 04474-3333
(207) 991-3762
Mailing address
44 FIELDS POND RD, ORRINGTON, ME 04474-3333
(207) 991-3762
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
06/08/2008
Last updated
06/08/2008
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