Individual
KATHLEEN F. GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OGNP
Contact information
Practice address
7 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-2431
(336) 243-2359
Mailing address
7 MEDICAL PARK DR, LEXINGTON, NC 27292-6768
(336) 243-2431
(336) 243-2359
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
800006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701260
UNITED HEALTHCARE NUMBER
NC
01
—
500028144
RAILROAD MEDICARE NUMBER
NC
01
—
C3242
MEDCOST NUMBER
NC
Enumeration date
02/20/2006
Last updated
02/09/2012
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