| NPI | 1770038887 |
|---|---|
| Doing Business As | KELLY GOODMAN NP AND ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | KELLY GOODMAN Owner 202-684-7167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |