Individual
KAROL KAYE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 524-4142
Mailing address
8813 ROCK CREEK LN, COLORADO SPRINGS, CO 80926-9709
(850) 218-0713
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0331006
CO
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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