Individual
KATIE JO GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 UNIVERSITY AVE, DES MOINES, IA 50311-4316
(877) 859-0542
Mailing address
16633 DELLWOOD DR, CLIVE, IA 50325-2590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117177
IA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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