Individual
KRISTEN MARIE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, DEPT. OF NEUROLOGY, LEBANON, NH 03756-1000
(603) 650-7491
Mailing address
1 MEDICAL CENTER DR, DEPT. OF NEUROLOGY, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0930
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081627
—
NH
05
—
9000601
—
VT
Enumeration date
03/18/2013
Last updated
11/25/2013
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