Organization
KELLY GOODMAN NP & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN GOODMAN NP (OWNER)
(202) 684-7167
Entity
Organization
Contact information
Practice address
4701 SANGAMORE ROAD, SUITE S207, BETHESDA, MD 20816-2529
(202) 684-7167
(240) 483-0441
Mailing address
4701 SANGAMORE ROAD, SUITE S207, BETHESDA, MD 20816-2529
(202) 684-7167
(240) 483-0441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
R156558
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2010
Last updated
07/14/2025
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