Individual
KELLIE J GOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A167698
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A167698
STATE LICENSE
IA
Enumeration date
02/17/2022
Last updated
07/25/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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