Individual
MRS. KELLY GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LDN
Contact information
Practice address
97 W OAK AVE, PANAMA CITY, FL 32401-2735
(850) 273-5867
Mailing address
3109 GALLBERRY AVE, PANAMA CITY, FL 32405-2783
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7621
FL
Other
Enumeration date
10/04/2017
Last updated
02/25/2022
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