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Rachael Goodman

Nurse Practitioner, Family in Lees Summit, MO. Individual provider (NPI-1).

NPI number1013569151
StatusActive
Last updated in NPPESNov 3, 2023

Details

NPI
1013569151
Entity type
Individual (NPI-1)
Name
Rachael Goodman
Sex
Female
Sole proprietor
No
Enumeration date
Jul 9, 2019
Certification date
Nov 3, 2023
Last updated
Nov 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2019023673MOYes

Practice location

211 Nw Executive Way Ste E
Lees Summit, MO 64063-1846

Phone 816-434-5205 · Fax 816-434-5207

Mailing address

211 Nw Executive Way Ste E
Lees Summit, MO 64063-1846

Phone 816-434-5205 · Fax 816-434-5207

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