SearchCalifornia163WP0808X

Kim Goodrum, R.N

NPI 1558520114 · on the registry since 2008

Practice

Address
825 Palmilla Dr
Modesto, CA 95356
Phone
(209) 572-3243

Registry record

Primary taxonomy
163WP0808X
163WP0808X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-08

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 California