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Jaclyn Goforth

NPI 1053132258 · on the registry since 2024 · sole proprietor

Practice

Address
5563 Far Hills Ave
Dayton, OH 45429
Phone
(937) 291-2300
Fax
(937) 291-2303
Organisation at this address
Kav Health Group Llc
Kav Health Group Llc
Kav Health Group, Llc
Nutrition Therapy Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
54

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-21
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio