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Kimberly Goodson
NPI 1437662046 · on the registry since 2017 · sole proprietor
Practice
- Address
- 301 N 2nd St
Belleville, IL 62220 - Phone
- (618) 233-2413
- Fax
- (618) 233-2413
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-06
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 Illinois