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Dr. Christa Cheyenne Goodwin, DO
Family Medicine Physician in Smithville, Missouri
NPI 1487159976

Christa Cheyenne Goodwin is a Family Medicine Physician based in Smithville, MO. Christa Cheyenne Goodwin practices in Smithville, MO and has the professional credentials of DO. The NPI Number for Christa Cheyenne Goodwin is 1487159976 and holds a License No. 2018020725 (Missouri).

The current practice location address for Christa Cheyenne Goodwin is 1103 S Us Highway 169, Smithville, MO and can be reached out via phone at 816-691-5340 and via fax at 816-346-7054.

Location: 1103 S Us Highway 169, Smithville, MO, 64089-9322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487159976
Provider Name
Christa Cheyenne Goodwin
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1103 S Us Highway 169, Smithville, MO, 64089-9322
Phone Number
816-691-5340
Fax Number
816-346-7054
Provider Enumeration Date
03/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487159976 05 MO
institution
Provider Business Practice Location Address Details
Address
1103 S Us Highway 169
City
Smithville
State
Missouri
Zip
64089-9322
Phone Number
816-691-5340
Fax Number
816-346-7054
person
Provider Business Mailing Address Details
Address
1103 S Us Highway 169
City
Smithville
State
Missouri
Zip
64089-9322
Phone Number
816-691-5340
Fax Number
816-346-7054
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2018020725 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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