Individual
KELSEY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
170 W 3RD ST APT 1, BOSTON, MA 02127-1212
(973) 303-5331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2286367
MA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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