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Kelly Goodman, OTR

NPI 1528272531 · on the registry since 2007 · sole proprietor

Practice

Address
21211 State Road 57
Kiel, WI 53042
Phone
(920) 740-2747

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-17

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 Wisconsin