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Kerry Jo Goodman, LPN
Licensed Practical Nurse in Kelso, Washington
NPI 1841792504

Kerry Jo Goodman is a Licensed Practical Nurse based in Longview, WA. Kerry Jo Goodman practices in Kelso, WA and has the professional credentials of LPN. The NPI Number for Kerry Jo Goodman is 1841792504 and holds a License No. LP60341830 (Washington).

The current practice location address for Kerry Jo Goodman is 305 Pacific Ave S Ste C, Kelso, WA and can be reached out via phone at 360-425-5378 and via fax at 360-425-5990.

Location: 305 Pacific Ave S Ste C, Kelso, WA, 98632-4338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841792504
Provider Name
Kerry Jo Goodman
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
305 Pacific Ave S Ste C, Kelso, WA, 98632-4338
Phone Number
360-425-5378
Fax Number
360-425-5990
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste C
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-425-5378
Fax Number
360-425-5990
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste C
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
360-425-5378
Fax Number
360-425-5990
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP60341830 (Washington)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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