Individual
KELLY KIMPTON GOODSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST STE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD459568
PA
Other
Enumeration date
06/12/2014
Last updated
03/17/2018
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