Individual
JENNIFER KRISTINA GOODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
4317 MARYLAND AVE APT 3E, SAINT LOUIS, MO 63108-2725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT228608
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2024013774
MO
Other
Enumeration date
06/14/2023
Last updated
06/16/2024
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