Search › West Virginia › 183500000X
Shannon Gooden
NPI 1245532787 · on the registry since 2010
Practice
- Address
- 500 Delaware Ave
Charleston, WV 25302 - Phone
- (304) 342-6916
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-02
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 West Virginia