Individual
DEBORAH CAROL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 599-5504
Mailing address
16200 SLATER AVE, BELTON, MO 64012-1643
(559) 920-5571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015023414
MO
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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