Dr. Kendall Lyn Goodyear, MD
Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery in Austin, TX. Individual provider (NPI-1).
NPI number1164043386
StatusActive
Last updated in NPPESJun 27, 2024
Details
- NPI
- 1164043386
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kendall Lyn Goodyear
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Jun 27, 2024
- Last updated
- Jun 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | U8332 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3705 Medical Pkwy Ste 120Austin, TX 78705-1022
Phone 512-458-2141 · Fax 512-458-4824
Mailing address
3705 Medical Pkwy Ste 120Austin, TX 78705-1022
Phone 512-458-2141 · Fax 512-458-2141
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