Individual
MRS. KRISTEN NIKOLE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7340
(816) 698-7377
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7340
(816) 698-7377
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2003028620
MO
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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