Individual
KERI GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(703) 295-9360
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(703) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117258
CT
Other
Enumeration date
06/03/2014
Last updated
08/15/2022
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