person
Kelly A Goodman, NP
Adult Health Clinical Nurse Specialist in Bethesda, Maryland
NPI 1639396914

Kelly A Goodman is an Adult Health Clinical Nurse Specialist based in Bethesda, MD and is specialized in Adult Health. Kelly A Goodman practices in Bethesda, MD and has the professional credentials of NP. The NPI Number for Kelly A Goodman is 1639396914 and holds a License No. RN966360 (Maryland).

The current practice location address for Kelly A Goodman is 4701 Sangamore Road, Bethesda, MD and can be reached out via phone at 202-684-7167 and via fax at 240-483-0441.

Location: 4701 Sangamore Road, Bethesda, MD, 20816-2529
person
Provider Profile Details
NPI Number
1639396914
Provider Name
Kelly A Goodman
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4701 Sangamore Road, Bethesda, MD, 20816-2529
Phone Number
202-684-7167
Fax Number
240-483-0441
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
413209200 05 MD
44330062 01 DC CAREFIRST
038745900 05 DC
1639396914 05 VA
institution
Provider Business Practice Location Address Details
Address
4701 Sangamore Road
City
State
Zip
20816-2529
Phone Number
202-684-7167
Fax Number
240-483-0441
person
Provider Business Mailing Address Details
Address
4701 Sangamore Road
City
State
Zip
20816-2529
Phone Number
202-684-7167
Fax Number
240-483-0441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R156558 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
RN966360 (District of Columbia)
Definition
Definition to come...
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