Individual
MRS. KELLY MARIE GOODENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20251 JOHN J WILLIAMS HWY, LEWES, DE 19958-4314
(302) 644-6860
(302) 644-6872
Mailing address
20251 JOHN J WILLIAMS HWY, LEWES, DE 19958-4314
(302) 644-6860
(302) 644-6860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000987
DE
Other
Enumeration date
12/21/2012
Last updated
08/12/2025
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