Organization
GOOD CLINIC CO PLLC
Active
Other names
The Good Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LEE SMITH DNP (CHIEF NURSE PRACTITIONER OFFICER)
(763) 639-5327
Entity
Organization
Contact information
Practice address
2100 WELTON ST, DENVER, CO 80205-3870
(763) 639-5327
Mailing address
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416-1233
(763) 639-5327
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
10/01/2024
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