Individual
KELLIE J GOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
709 W MAIN ST, MANCHESTER, IA 52057-1526
(563) 927-7526
Mailing address
PO BOX 359, MANCHESTER, IA 52057-0359
(563) 927-7526
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
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