Individual
KI'ARRA M GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7300 ASHLAKE PKWY STE 200, CHESTERFIELD, VA 23832-2827
(804) 256-8282
Mailing address
3148 ZION ST, RICHMOND, VA 23234-1639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189033
VA
Other
Enumeration date
01/25/2021
Last updated
03/01/2024
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