Individual
KRISTEN MARIE PAIGE GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KRISTEN
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(844) 458-2100
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
L083238266
OK
175T00000X
Peer Specialist
Primary
L083238266
OK
Other
Enumeration date
04/30/2019
Last updated
06/04/2026
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