Organization
PROMENADE PRIMARY CARE LLC
Active
Other names
Kelly Goodman NP and Associates PC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GOODMAN NP (OWNER)
(202) 684-7167
Entity
Organization
Contact information
Practice address
4701 SANGAMORE RD, SUITE S207, BETHESDA, MD 20816-2508
(202) 684-7167
Mailing address
955 LENFANT PLZ SW, SUITE 325, WASHINGTON, DC 20024-2119
(202) 684-7167
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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