Individual
AMY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM ROAD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-7502
(816) 601-3997
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2022028092
MO
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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