Individual
KELLY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
1070 WESTBANK EXPY, WESTWEGO, LA 70094-4713
(504) 688-2211
Mailing address
1070 WESTBANK EXPY, WESTWEGO, LA 70094-4713
(504) 688-2211
(504) 688-2223
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
221402
LA
Other
Enumeration date
08/31/2022
Last updated
09/06/2022
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