person
Mr. Kim Dale Goodrum, RN
Psychiatric/Mental Health Registered Nurse in Modesto, California
NPI 1558520114

Kim Dale Goodrum is a Psychiatric/Mental Health Registered Nurse based in Modesto, CA and is specialized in Psychiatric/Mental Health. Kim Dale Goodrum practices in Modesto, CA and has the professional credentials of RN. The NPI Number for Kim Dale Goodrum is 1558520114 and holds a License No. 696742 (California).

The current practice location address for Kim Dale Goodrum is 825 Palmilla Dr, Modesto, CA and can be reached out via phone at 209-572-3243. You can also correspond with Kim Dale Goodrum through the mailing address at 825 PALMILLA DR, MODESTO, CA - 95356-1152 (mailing address contact number: 209-572-3243).

Location: 825 Palmilla Dr, Modesto, CA, 95356-1152
person
Provider Profile Details
NPI Number
1558520114
Provider Name
Kim Dale Goodrum
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
825 Palmilla Dr, Modesto, CA, 95356-1152
Phone Number
209-572-3243
Fax Number
Provider Enumeration Date
06/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
825 Palmilla Dr
City
State
Zip
95356-1152
Phone Number
209-572-3243
Fax Number
person
Provider Business Mailing Address Details
Address
825 Palmilla Dr
City
State
Zip
95356-1152
Phone Number
209-572-3243
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
696742 (California)
Definition
Definition to come...
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