Individual
MS. KELLI ANN GOODSIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
530 E ELLENDALE RD UNIT 229, EDGERTON, WI 53534-8474
(608) 289-2139
Mailing address
530 E ELLENDALE RD UNIT 229, EDGERTON, WI 53534-8474
(608) 289-2139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91209
WI
Other
Enumeration date
11/05/2019
Last updated
07/28/2020
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