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Individual

MR. GUY KULUMANU GOODNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, BSN, RN, FNP-C

Contact information

Practice address
100 ST MARYS EPWORTH XING STE 10030705, NEWBURGH, IN 47630-9497
(812) 853-9651
(812) 853-9899
Mailing address
100 ST MARYS EPWORTH XING STE B100, NEWBURGH, IN 47630-9497
(812) 853-9651
(812) 583-9899

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
13750
MN
363LF0000X
Family Nurse Practitioner
Primary
RN241476
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003195877A
GA
Enumeration date
07/24/2017
Last updated
07/20/2026
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