Individual
MS. KELLY C. GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 683-5100
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5402
CT
Other
Enumeration date
07/23/2013
Last updated
01/07/2016
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